Provider Demographics
NPI:1548234396
Name:MCINTIRE, SARA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:C
Last Name:MCINTIRE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4401 PENN AVENUE
Mailing Address - Street 2:FACULTY OFFICE PAVILION, 3RD FLOOR, PEDIATRIC HOSPITAL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2524
Mailing Address - Country:US
Mailing Address - Phone:412-692-5135
Mailing Address - Fax:412-692-7038
Practice Address - Street 1:4401 PENN AVENUE
Practice Address - Street 2:FACULTY OFFICE PAVILION, 3RD FLOOR, PEDIATRIC HOSPITAL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2524
Practice Address - Country:US
Practice Address - Phone:412-692-5135
Practice Address - Fax:412-692-7038
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD041778L174400000X, 208000000X
PAMD041778208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001945534Medicaid
PA618886EB0Medicare ID - Type Unspecified
PAA53713Medicare UPIN