Provider Demographics
NPI:1578672713
Name:DAPPERT, BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DAPPERT
Suffix:
Gender:F
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:PO BOX 874
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-0874
Mailing Address - Country:US
Mailing Address - Phone:724-934-3975
Mailing Address - Fax:
Practice Address - Street 1:11676 PERRY HWY
Practice Address - Street 2:STE 1304
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7201
Practice Address - Country:US
Practice Address - Phone:724-934-3975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045254L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA273454OtherHEALTH AMERICA
PA130008425OtherRAILROAD MEDICARE
PA1013306OtherGATEWAY HEALTH PLAN
PA0012581310005Medicaid
PA0478133000OtherINDEPENDENCE BLUE SHIELD
PA647245OtherHIGHMARK BLUE SHIELD
PA647245Medicare PIN
PA647245OtherHIGHMARK BLUE SHIELD