Provider Demographics
NPI:1831208420
Name:KAUMA, SCOTT W (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:W
Last Name:KAUMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4815 LIBERTY AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-578-5588
Mailing Address - Fax:412-605-6544
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-578-5588
Practice Address - Fax:412-605-6544
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2010-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD421954207VE0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019664270001Medicaid
PAP00113010OtherRAILROAD MEDICARE
PAP00113010OtherRAILROAD MEDICARE
PAC84850Medicare UPIN