1629158290 NPI number — PRISCILLA FRANCES MCAULIFFE MD PHD

Table of content: PRISCILLA FRANCES MCAULIFFE MD PHD (NPI 1629158290)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629158290 NPI number — PRISCILLA FRANCES MCAULIFFE MD PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCAULIFFE
Provider First Name:
PRISCILLA
Provider Middle Name:
FRANCES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD PHD
Provider Gender Code:
F

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:
1629158290
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
08/16/2007

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 SOUTHWEST ARCHER ROAD
Provider Second Line Business Mailing Address:
DEPARTMENT OF SURGERY UF COLLEGE OF MEDICINE
Provider Business Mailing Address City Name:
GAINESVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-265-0604
Provider Business Mailing Address Fax Number:
352-265-3292

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 HALKET ST STE 2601
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-3108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-641-4274
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2006

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: 2086X0206X , with the licence number:  MD443591 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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