Provider Demographics
NPI:1396740775
Name:SLAYMAKER, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:SLAYMAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 W VIEW PARK DR STE 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1785
Mailing Address - Country:US
Mailing Address - Phone:412-939-3090
Mailing Address - Fax:412-939-3094
Practice Address - Street 1:1000 W VIEW PARK DR STE 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1785
Practice Address - Country:US
Practice Address - Phone:412-939-3090
Practice Address - Fax:412-939-3094
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 074461 L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009564830004Medicaid
PA066084Medicare PIN
PAH76876Medicare UPIN