Provider Demographics
NPI:1093706749
Name:KARLIK, JEFFREY SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:KARLIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 MARJORIE LANE
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3662
Mailing Address - Country:US
Mailing Address - Phone:412-299-6406
Mailing Address - Fax:412-931-8103
Practice Address - Street 1:1015 W VIEW PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1772
Practice Address - Country:US
Practice Address - Phone:412-931-8101
Practice Address - Fax:412-931-8103
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063390L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017528140003Medicaid
PA024964Medicare ID - Type Unspecified
PA0017528140003Medicaid