Provider Demographics
NPI:1245388941
Name:HARPER, JAY DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:DOUGLAS
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3708 5TH AVE
Mailing Address - Street 2:SUITE 500.59
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3427
Mailing Address - Country:US
Mailing Address - Phone:412-647-5323
Mailing Address - Fax:412-647-1993
Practice Address - Street 1:3708 5TH AVE
Practice Address - Street 2:SUITE 500.59
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3427
Practice Address - Country:US
Practice Address - Phone:412-647-5323
Practice Address - Fax:412-647-1993
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045673L2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF73888Medicare UPIN