Healthcare Provider Details

I. General information

NPI: 1194568808
Provider Name (Legal Business Name): SARAH MARIE HERWALD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 01/19/2025
Certification Date: 01/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WILMINGTON AVE
NEW CASTLE PA
16105-2516
US

IV. Provider business mailing address

3549 5TH AVE
PITTSBURGH PA
15213-3301
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-2210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMA065598
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMA065598
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: