Provider Demographics
NPI:1407858335
Name:SAWEIKIS, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:SAWEIKIS
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 1:240 NEW CREEK HWY
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-0070
Mailing Address - Country:US
Mailing Address - Phone:304-788-0400
Mailing Address - Fax:304-788-2750
Practice Address - Street 1:240 NEW CREEK HWY
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-0070
Practice Address - Country:US
Practice Address - Phone:304-788-0400
Practice Address - Fax:304-788-2750
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18383207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0054691000Medicaid
WV0806251Medicare ID - Type Unspecified
WVG30950Medicare UPIN