Provider Demographics
NPI:1104848613
Name:BAYUK, JOHN D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:BAYUK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1254 ROUTE 30
Mailing Address - Street 2:HILENDALE HEALTH CENTER
Mailing Address - City:CLINTON
Mailing Address - State:PA
Mailing Address - Zip Code:15026-1536
Mailing Address - Country:US
Mailing Address - Phone:724-573-5600
Mailing Address - Fax:724-899-2346
Practice Address - Street 1:1254 ROUTE 30
Practice Address - Street 2:HILENDALE HEALTH CENTER
Practice Address - City:CLINTON
Practice Address - State:PA
Practice Address - Zip Code:15026-1536
Practice Address - Country:US
Practice Address - Phone:724-573-5600
Practice Address - Fax:724-899-2346
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2015-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019957E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006716220004Medicaid
PA110794LCKMedicare PIN
PA0006716220004Medicaid