Provider Demographics
NPI:1679602437
Name:SAUERS, PATRICIA L (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:SAUERS
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 1:1501 OLD US ROUTE 15
Mailing Address - Street 2:
Mailing Address - City:YORK SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:17372-9739
Mailing Address - Country:US
Mailing Address - Phone:717-840-7124
Mailing Address - Fax:
Practice Address - Street 1:1501 OLD US ROUTE 15
Practice Address - Street 2:
Practice Address - City:YORK SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17372-9739
Practice Address - Country:US
Practice Address - Phone:717-840-7124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024732E207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000901080 0006Medicaid
PA413481D5MMedicare ID - Type Unspecified
PA000901080 0006Medicaid