Provider Demographics
NPI:1578608824
Name:DR. SCOTT W. STERLING
Entity Type:Organization
Organization Name:DR. SCOTT W. STERLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:570-773-3300
Mailing Address - Street 1:138 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MAHANOY CITY
Mailing Address - State:PA
Mailing Address - Zip Code:17948-2627
Mailing Address - Country:US
Mailing Address - Phone:570-773-3300
Mailing Address - Fax:570-773-2336
Practice Address - Street 1:138 W MARKET ST
Practice Address - Street 2:
Practice Address - City:MAHANOY CITY
Practice Address - State:PA
Practice Address - Zip Code:17948-2627
Practice Address - Country:US
Practice Address - Phone:570-773-3300
Practice Address - Fax:570-773-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008617L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015977080008Medicaid
PA=========OtherEIN
PA084462Medicare PIN
PA=========OtherEIN