Provider Demographics
NPI:1568583292
Name:DIETER SAUER MD INC
Entity Type:Organization
Organization Name:DIETER SAUER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-832-1955
Mailing Address - Street 1:545 RUGH STREET
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:GREENSBERG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5695
Mailing Address - Country:US
Mailing Address - Phone:724-832-1955
Mailing Address - Fax:724-832-0301
Practice Address - Street 1:545 RUGH STREET
Practice Address - Street 2:SUITE 3000
Practice Address - City:GREENSBERG
Practice Address - State:PA
Practice Address - Zip Code:15601-5695
Practice Address - Country:US
Practice Address - Phone:724-832-1955
Practice Address - Fax:724-832-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031786L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0704901Medicaid
PA277757OtherHIGHMARK
PA042448Medicare PIN