Provider Demographics
NPI:1972562494
Name:EDGAR H. SANCHEZ, MD, INC.
Entity Type:Organization
Organization Name:EDGAR H. SANCHEZ, MD, INC.
Other - Org Name:STEUBENVILLE PULMONARY ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-264-7800
Mailing Address - Street 1:4100 JOHNSON RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2356
Mailing Address - Country:US
Mailing Address - Phone:740-264-7800
Mailing Address - Fax:740-264-2334
Practice Address - Street 1:4100 JOHNSON RD
Practice Address - Street 2:SUITE 208
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2356
Practice Address - Country:US
Practice Address - Phone:740-264-7800
Practice Address - Fax:740-264-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065142S207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDG4470OtherRR MEDICARE
WV0075820000Medicaid
OH27286850100OtherBWC
PA1460426Medicaid
OH0926798Medicaid
WVDG4475OtherRR MEDICARE
OHF59773Medicare UPIN
PA1460426Medicaid
OH0926798Medicaid
WV0075820000Medicaid
WVDG4475OtherRR MEDICARE