1447295407 NPI number — DONALD A SAELINGER M.D.

Table of content: DONALD A SAELINGER M.D. (NPI 1447295407)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447295407 NPI number — DONALD A SAELINGER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAELINGER
Provider First Name:
DONALD
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447295407
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 E. SIXTH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41017-1803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-431-8285
Provider Business Mailing Address Fax Number:
859-431-8286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17 E. SIXTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41017-1803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-431-8285
Provider Business Practice Location Address Fax Number:
859-431-8286
Provider Enumeration Date:
06/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  35.037399 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X , with the licence number: 17367 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X , with the licence number: 01068075A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 64173677 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: PENDING , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000654276 . This is a "ANTHEM PROVIDER NUMBER" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 0289236 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100009313 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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