Provider Demographics
NPI:1437256872
Name:TYMA, CATHY SOFFER (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:SOFFER
Last Name:TYMA
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 1:9000 BROOKTREE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9255
Mailing Address - Country:US
Mailing Address - Phone:724-934-9349
Mailing Address - Fax:724-934-9343
Practice Address - Street 1:9000 BROOKTREE RD
Practice Address - Street 2:SUITE 402
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9255
Practice Address - Country:US
Practice Address - Phone:724-934-9349
Practice Address - Fax:724-934-9343
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049420L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA243043OtherHEALTHAMERICA
PA713284OtherHIGHMARK
PA204600OtherUPMC
PAE34336Medicare UPIN
PW713284GJIMedicare ID - Type UnspecifiedDBA NORTH PARK IMAGING
PA204600OtherUPMC