Provider Demographics
NPI:1396707683
Name:TOBIN, KAREN (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:TOBIN
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 1:101 TRICH DR
Mailing Address - Street 2:STE 1
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5989
Mailing Address - Country:US
Mailing Address - Phone:724-228-4011
Mailing Address - Fax:724-228-7293
Practice Address - Street 1:101 TRICH DR
Practice Address - Street 2:STE 1
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5989
Practice Address - Country:US
Practice Address - Phone:724-228-4011
Practice Address - Fax:724-228-7293
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049308L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014795080001Medicaid
PA448029OtherHIGHMARK BCBS
T0073248Medicare ID - Type Unspecified
F03025Medicare UPIN