Provider Demographics
NPI:1033137971
Name:MINYON-SARVER, DAWN (DO)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:MINYON-SARVER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:MINYON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 GALLERY DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2690
Mailing Address - Country:US
Mailing Address - Phone:412-831-8089
Mailing Address - Fax:412-831-2955
Practice Address - Street 1:114 GALLERY DR
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2690
Practice Address - Country:US
Practice Address - Phone:412-831-8089
Practice Address - Fax:412-831-2955
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009209L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016613170002Medicaid
PA91272OtherHEALTH AMERICA
PA966260OtherHIGHMARK BC/BS
PA0016613170006Medicaid
PA968452OtherAETNA
PA00166131700015Medicaid
PA0016613170003Medicaid
PA080157719OtherRAILROAD MEDICARE
PA200305OtherUPMC
PA966260OtherHIGHMARK BC/BS
PA0016613170002Medicaid