Provider Demographics
NPI:1861416554
Name:OYLER, PAUL (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:OYLER
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 1:390 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-1243
Mailing Address - Country:US
Mailing Address - Phone:814-807-1131
Mailing Address - Fax:814-807-1135
Practice Address - Street 1:390 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-1243
Practice Address - Country:US
Practice Address - Phone:814-807-1131
Practice Address - Fax:814-807-1135
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052734L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014680300003Medicaid
PAF78085Medicare UPIN
765722ECCMedicare ID - Type Unspecified