Provider Demographics
NPI:1124022769
Name:SALVITTI, ERNEST RONALD (MD)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:RONALD
Last Name:SALVITTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E BEAU ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6661
Mailing Address - Country:US
Mailing Address - Phone:724-228-2982
Mailing Address - Fax:724-228-8117
Practice Address - Street 1:750 E BEAU ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6661
Practice Address - Country:US
Practice Address - Phone:724-228-2982
Practice Address - Fax:724-228-8117
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007522E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007312750001Medicaid
PA16533OtherHIGHMARK
PAB32710Medicare UPIN
PA016533Medicare ID - Type Unspecified
PA16533OtherHIGHMARK
PA0007312750001Medicaid