Provider Demographics
NPI: | 1467411439 |
---|---|
Name: | DUNCAN, SARAH CAROLYN (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | SARAH |
Middle Name: | CAROLYN |
Last Name: | DUNCAN |
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: | 95 LEONARD AVE |
Mailing Address - Street 2: | BLDG 2 |
Mailing Address - City: | WASHINGTON |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15301-3368 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 724-223-3100 |
Mailing Address - Fax: | 724-223-3353 |
Practice Address - Street 1: | 3415 MILLERS RUN RD |
Practice Address - Street 2: | |
Practice Address - City: | CECIL |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15321-1403 |
Practice Address - Country: | US |
Practice Address - Phone: | 724-873-7414 |
Practice Address - Fax: | 724-873-7421 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-03-20 |
Last Update Date: | 2008-06-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD417325 | 207Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
001356686 | Other | HIGHMARK | |
P004520 | Other | GATEWAY | |
131796 | Other | UNISON | |
212968 | Other | UPMC | |
PA | 0018199040005 | Medicaid | |
001356686 | Other | HIGHMARK | |
P004520 | Other | GATEWAY | |
042516JXY | Medicare PIN |