Provider Demographics
NPI:1770560146
Name:ROBERT S ENGLISH JR MD PC
Entity type:Organization
Organization Name:ROBERT S ENGLISH JR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:724-564-7424
Mailing Address - Street 1:2160 SPRINGHILL FURNACE RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:15478-1428
Mailing Address - Country:US
Mailing Address - Phone:724-564-7424
Mailing Address - Fax:724-564-4642
Practice Address - Street 1:2160 SPRINGHILL FURNACE RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:PA
Practice Address - Zip Code:15478-1428
Practice Address - Country:US
Practice Address - Phone:724-564-7424
Practice Address - Fax:724-564-4642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01749345Medicaid
PA01749345Medicaid
044827Medicare ID - Type Unspecified