Provider Demographics
NPI:1538150651
Name:JEFFREY SCOTT KARLIK MD
Entity type:Organization
Organization Name:JEFFREY SCOTT KARLIK MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KARLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-931-8101
Mailing Address - Street 1:1015 W VIEW PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1772
Mailing Address - Country:US
Mailing Address - Phone:412-931-8101
Mailing Address - Fax:412-931-8103
Practice Address - Street 1:1015 W VIEW PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1772
Practice Address - Country:US
Practice Address - Phone:412-931-8101
Practice Address - Fax:412-931-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1894622Medicaid
PA1894622Medicaid