Healthcare Provider Details

I. General information

NPI: 1750543526
Provider Name (Legal Business Name): SUSAN KATHLEEN SAUNDERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9795 PERRY HWY SUITE 100
WEXFORD PA
15090-9700
US

IV. Provider business mailing address

9795 PERRY HWY STE 100
WEXFORD PA
15090-9700
US

V. Phone/Fax

Practice location:
  • Phone: 412-366-7337
  • Fax:
Mailing address:
  • Phone: 412-366-7337
  • Fax: 412-366-5118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number442540
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: