Provider Demographics
NPI: | 1538123856 |
---|---|
Name: | KAPLAN, PETER DONALD (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | PETER |
Middle Name: | DONALD |
Last Name: | KAPLAN |
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: | 490 E NORTH AVE |
Mailing Address - Street 2: | STE 303 |
Mailing Address - City: | PITTSBURGH |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15212 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 412-321-3344 |
Mailing Address - Fax: | 412-322-5324 |
Practice Address - Street 1: | 490 E NORTH AVE |
Practice Address - Street 2: | STE 300 |
Practice Address - City: | PITTSBURGH |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15212 |
Practice Address - Country: | US |
Practice Address - Phone: | 412-321-3344 |
Practice Address - Fax: | 412-322-5324 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-04-13 |
Last Update Date: | 2012-12-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD015845E | 207RP1001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | 0509426 | Medicaid | |
PA | 0081440200007 | Medicaid | |
WV | 0083710000 | Medicaid | |
KA098096 | Medicare ID - Type Unspecified | ||
PA | 0081440200007 | Medicaid | |
PA | 098096NJY | Medicare PIN |