Provider Demographics
NPI:1184773137
Name:SCHULHOFF, JOHN WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WILLIAM
Last Name:SCHULHOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LN STE 220
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3761
Mailing Address - Country:US
Mailing Address - Phone:412-469-1002
Mailing Address - Fax:412-469-8925
Practice Address - Street 1:1200 BROOKS LN STE 220
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3761
Practice Address - Country:US
Practice Address - Phone:412-469-1002
Practice Address - Fax:412-469-8925
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015041E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10935840OtherCAQH
PA000671097Medicaid
PAB29808Medicare UPIN