Provider Demographics
NPI:1609841139
Name:PFAEFFLE, HUGO JAMES (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:JAMES
Last Name:PFAEFFLE
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BROOKTREE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9285
Mailing Address - Country:US
Mailing Address - Phone:412-367-0600
Mailing Address - Fax:412-367-7079
Practice Address - Street 1:6998 CRIDER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2306
Practice Address - Country:US
Practice Address - Phone:727-779-7000
Practice Address - Fax:412-367-7079
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425835174400000X
PAMD 425835207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012525240002Medicaid
PA1012525240003Medicaid
PA1012525240004Medicaid
PA0135520002Medicare NSC
PA1012525240002Medicaid
PA1012525240003Medicaid
PA0135520001Medicare NSC