Provider Demographics
NPI:1629196746
Name:HERRLE, SCOTT ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ROBERT
Last Name:HERRLE
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 1:130-U VA PITTSBURGH HEALTHCARE SYSTEM
Mailing Address - Street 2:UNIVERSITY DRIVE C
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15240-3101
Mailing Address - Country:US
Mailing Address - Phone:412-954-5158
Mailing Address - Fax:
Practice Address - Street 1:130-U VA PITTSBURGH HEALTHCARE SYSTEM
Practice Address - Street 2:UNIVERSITY DRIVE C
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240-3101
Practice Address - Country:US
Practice Address - Phone:412-954-5158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428379207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine