Provider Demographics
NPI:1124143565
Name:VOJTECH SAILER MD PA
Entity type:Organization
Organization Name:VOJTECH SAILER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PHYSICAN
Authorized Official - Prefix:
Authorized Official - First Name:VOJTECH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-798-0580
Mailing Address - Street 1:6148 ST ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-3122
Mailing Address - Country:US
Mailing Address - Phone:803-798-0580
Mailing Address - Fax:803-798-0047
Practice Address - Street 1:6148 ST ANDREWS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3122
Practice Address - Country:US
Practice Address - Phone:803-798-0580
Practice Address - Fax:803-798-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC7948208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC079480Medicaid
SC079480Medicaid