Healthcare Provider Details

I. General information

NPI: 1447295407
Provider Name (Legal Business Name): DONALD A SAELINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E. SIXTH ST
NEWPORT KY
41017-1803
US

IV. Provider business mailing address

17 E. SIXTH ST
NEWPORT KY
41017-1803
US

V. Phone/Fax

Practice location:
  • Phone: 859-431-8285
  • Fax: 859-431-8286
Mailing address:
  • Phone: 859-431-8285
  • Fax: 859-431-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35.037399
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number17367
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number01068075A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: