Basic Information
Provider Information
NPI: 1780827790
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAIDA
FirstName: NATALIE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 173 MARGUERITE RD
Address2:  
City: LATROBE
State: PA
PostalCode: 156505159
CountryCode: US
TelephoneNumber: 4128492563
FaxNumber:  
Practice Location
Address1: 532 W PITTSBURGH ST
Address2: EXCELA HEALTH- WESTMORELAND HOSPITAL
City: GREENSBURG
State: PA
PostalCode: 156012239
CountryCode: US
TelephoneNumber: 7248324000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2009
LastUpdateDate: 06/27/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XOS016459PAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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