Provider Demographics
NPI:1497754337
Name:ANOLIK, STEVEN LEE (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:ANOLIK
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 1:2626 HAYMAKER RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3516
Mailing Address - Country:US
Mailing Address - Phone:412-856-7740
Mailing Address - Fax:412-457-0392
Practice Address - Street 1:2626 HAYMAKER RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3516
Practice Address - Country:US
Practice Address - Phone:412-856-7740
Practice Address - Fax:412-457-0392
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044533L2085R0203X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2000951000Medicaid
OH2110503Medicaid
PA001249221Medicaid
WV2000951000Medicaid
PA669335Medicare PIN
WV2000951000Medicaid
PA920005903Medicare PIN