Provider Demographics
NPI:1154396539
Name:SALATA, ROSE ANN
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:ANN
Last Name:SALATA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSE ANN
Other - Middle Name:JEANETTE
Other - Last Name:SALATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3601 5TH AVE
Mailing Address - Street 2:FALK CLINIC, SUITE 2B
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3403
Mailing Address - Country:US
Mailing Address - Phone:412-383-8700
Mailing Address - Fax:
Practice Address - Street 1:3601 5TH AVE
Practice Address - Street 2:FALK CLINIC, SUITE 2B
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3403
Practice Address - Country:US
Practice Address - Phone:412-383-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025573E207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000974040Medicaid
PA143685Medicare PIN
PA000974040Medicaid