Provider Demographics
NPI:1922113034
Name:MILSTEIN, SCOTT (DO)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:MILSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 WOODWARD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6416
Mailing Address - Country:US
Mailing Address - Phone:724-837-9070
Mailing Address - Fax:724-837-0157
Practice Address - Street 1:1123 WOODWARD DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6416
Practice Address - Country:US
Practice Address - Phone:724-837-9070
Practice Address - Fax:724-837-0157
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008204L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016552020009Medicaid
PA0016552020009Medicaid
PA001940Medicare ID - Type Unspecified