Provider Demographics
NPI:1437120672
Name:TAUBERG, STUART G (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:G
Last Name:TAUBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:21 YOST BLVD
Mailing Address - Street 2:FOREST HILLS PLAZA, SUITE 216
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5283
Mailing Address - Country:US
Mailing Address - Phone:412-823-3113
Mailing Address - Fax:412-824-8634
Practice Address - Street 1:21 YOST BLVD
Practice Address - Street 2:FOREST HILLS PLAZA, SUITE 216
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5283
Practice Address - Country:US
Practice Address - Phone:412-823-3113
Practice Address - Fax:412-824-8634
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036728E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA060016698OtherRAILROAD MEDICARE
PA1538649OtherGATEWAY HEALTH PLAN
PA242497OtherCOVENTRY HEALTHCARE
PA7974591OtherAETNA
PA0012938830012Medicaid
PA102808OtherUPMC FOR YOU
PA1258411002OtherCIGNA
PA201362491OtherUNITED HEALTHCARE
PA1629728OtherHIGHMARK BCBS
PA201362491OtherTRICARE
PA102808OtherUPMC FOR LIFE
PA155597OtherMEDPLUS
PA102808OtherUPMC HEALTH PLAN
PAF19995Medicare UPIN
PA083427Medicare PIN