Provider Demographics
NPI:1265642516
Name:YODER, KATHARINE E (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:E
Last Name:YODER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1733
Mailing Address - Country:US
Mailing Address - Phone:412-441-4884
Mailing Address - Fax:
Practice Address - Street 1:5324 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1733
Practice Address - Country:US
Practice Address - Phone:412-441-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433917208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2039802OtherHIGHMARK
PAP00645759OtherRR MEDICARE
PA102104320Medicaid
PAP009506OtherGATEWAY
PA412474OtherUPMC
PA9719099OtherAETNA
PA127150Medicare PIN