Healthcare Provider Details

I. General information

NPI: 1174028708
Provider Name (Legal Business Name): SARAH KARRON NUTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 06/26/2023
Certification Date: 06/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE FACULTY PAVILION, 2ND FLOOR, SUITE 2000
PITTSBURGH PA
15224
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER-PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213-3901
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-6236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD61184375
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD61184375
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD481309
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: