Provider Demographics
NPI:1124091954
Name:DISCHMAN, ELAINE C (MD)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:C
Last Name:DISCHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 NEW CASTLE ROAD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-283-3627
Mailing Address - Fax:724-283-0968
Practice Address - Street 1:256 NEW CASTLE RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2576
Practice Address - Country:US
Practice Address - Phone:724-283-3627
Practice Address - Fax:724-283-0968
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042269L207Q00000X
IN01076304A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016555700003Medicaid
PAG14432Medicare UPIN
PA0016555700003Medicaid