Basic Information
| Provider Information | |||||||||
| NPI: | 1871500462 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUDWAY | ||||||||
| FirstName: | RAYE | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 BOWER HILL ROAD | ||||||||
| Address2: | ATTN AFFILIATE BILLING- PAMALYN PATNESKY | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152431873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129242548 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2000 OXFORD DR STE 301 | ||||||||
| Address2: | |||||||||
| City: | BETHEL PARK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151021841 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129427850 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 03/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD043032L | PA | Y | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | MD043032L | PA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
ID Information
| ID | Type | State | Issuer | Description | 2850839 | 05 | OH | MEDICAID | 0014100950005 | 05 | PA | MEDICAID | 3810012223 | 05 | WV | MEDICAID |