Provider Demographics
NPI:1730185943
Name:WODZINSKI, STEVEN F (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:WODZINSKI
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 1:562 SHEARER ST
Mailing Address - Street 2:MEDICAL ARTS BLDG., STE 203
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2746
Mailing Address - Country:US
Mailing Address - Phone:724-837-1894
Mailing Address - Fax:724-837-0681
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:MEDICAL ARTS BLDG., STE 203
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-837-1894
Practice Address - Fax:724-837-0681
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032672E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA66038OtherMEDPLUS
PA1294168OtherUNITED MINE WORKERS
PA103107OtherHIGHMARK
PA1004895OtherGATEWAY
PA91395OtherAETNA US HEALTHCARE
PA203832OtherUPMC FOR YOU
PA0010420050003Medicaid
PA8944OtherHEALTH AMERICA/HEALTH ASS
PA8944OtherADVANTRA
PA66038OtherMEDPLUS
PA103107Medicare ID - Type Unspecified