Provider Demographics
NPI:1194784363
Name:SCHLEIFER, AMY E (PA-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:SCHLEIFER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:PREISACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:505 N PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425
Mailing Address - Country:US
Mailing Address - Phone:724-603-6200
Mailing Address - Fax:724-626-4480
Practice Address - Street 1:599 N CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666
Practice Address - Country:US
Practice Address - Phone:724-542-5349
Practice Address - Fax:724-542-4658
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052226363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103180077Medicaid
PAQ60238Medicare UPIN