Basic Information
Provider Information
NPI: 1386148468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BORING
FirstName: SARAH
MiddleName: ELIZABETH
NamePrefix: MISS
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3600 FORBES AT MEYRAN AVE.
Address2: SUITE 10040
City: PITTSBURGH
State: PA
PostalCode: 152131454
CountryCode: US
TelephoneNumber: 4124327400
FaxNumber: 4124327480
Practice Location
Address1: 500 W BERKELEY ST
Address2:  
City: UNIONTOWN
State: PA
PostalCode: 154015596
CountryCode: US
TelephoneNumber: 7244305000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2018
LastUpdateDate: 09/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMA059725PAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
363A00000XMA059725PAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700XMA059725PAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
207PE0004XMA059725PAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services

No ID Information.


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