Healthcare Provider Details

I. General information

NPI: 1023457868
Provider Name (Legal Business Name): SCOTT HEYL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 07/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 CENTER AVE
PITTSBURGH PA
15229-1724
US

IV. Provider business mailing address

1020 CENTER AVE
PITTSBURGH PA
15229-1724
US

V. Phone/Fax

Practice location:
  • Phone: 412-931-3066
  • Fax:
Mailing address:
  • Phone: 412-931-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD458645
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: