Provider Demographics
NPI:1598258667
Name:SPROGELL, ANNE KATHRYN TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:KATHRYN TAYLOR
Last Name:SPROGELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:816 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4915
Mailing Address - Country:US
Mailing Address - Phone:412-321-4001
Mailing Address - Fax:
Practice Address - Street 1:816 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4915
Practice Address - Country:US
Practice Address - Phone:412-321-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD472833207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA31125785OtherAMERIHEALTH CARITAS
PA103566104-0009Medicaid
PA103566104-0010Medicaid
PA73247MD472833OtherJEFFERSON HPP
PA7507658OtherCIGNA
PA4693050OtherHIGHMARK BC BS
PA483846OtherUPMC
PA6673789OtherAETNA