Provider Demographics
NPI:1982606190
Name:SAYLOR, MICHAEL JOSEPH (M D)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:SAYLOR
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 MEDICAL CAMPUS RD
Mailing Address - Street 2:STE 126
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6799
Mailing Address - Country:US
Mailing Address - Phone:301-714-4375
Mailing Address - Fax:301-714-4365
Practice Address - Street 1:11110 MEDICAL CAMPUS RD
Practice Address - Street 2:STE 126
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6799
Practice Address - Country:US
Practice Address - Phone:301-714-4375
Practice Address - Fax:301-714-4365
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038598207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0001 H883OtherCAREFIRST REGIONAL NETWRK
MD544431400 793251101Medicaid
MD573726 GRP 59855OtherPA BLUE SHIELD MD LOCATIO
MD01996401 GP 02426700OtherCAPITAL BLUE CROSS
MDIND 42470702 GP S186OtherCAREFIRST BLUE SHIELD
MD2172961OtherMAMSI
MD643541 GRP 593934OtherPA BS, PA LOCATION
MD0001 H883OtherCAREFIRST REGIONAL NETWRK
MDE20306Medicare UPIN