Provider Demographics
| NPI: | 1538123856 |
|---|---|
| Name: | KAPLAN, PETER DONALD (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | PETER |
| Middle Name: | DONALD |
| Last Name: | KAPLAN |
| Suffix: | |
| Gender: | M |
| 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: | 490 E NORTH AVE |
| Mailing Address - Street 2: | STE 303 |
| Mailing Address - City: | PITTSBURGH |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 15212 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 412-321-3344 |
| Mailing Address - Fax: | 412-322-5324 |
| Practice Address - Street 1: | 490 E NORTH AVE |
| Practice Address - Street 2: | STE 300 |
| Practice Address - City: | PITTSBURGH |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 15212 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 412-321-3344 |
| Practice Address - Fax: | 412-322-5324 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-04-13 |
| Last Update Date: | 2012-12-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | MD015845E | 207RP1001X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OH | 0509426 | Medicaid | |
| PA | 0081440200007 | Medicaid | |
| WV | 0083710000 | Medicaid | |
| KA098096 | Medicare ID - Type Unspecified | ||
| PA | 0081440200007 | Medicaid | |
| PA | 098096NJY | Medicare PIN |