Provider Demographics
NPI:1285517433
Name:SAYLOR, MICHAEL ELIJAH (PA-C)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ELIJAH
Last Name:SAYLOR
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 TRIBE CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-8009
Mailing Address - Country:US
Mailing Address - Phone:513-827-8990
Mailing Address - Fax:
Practice Address - Street 1:3131 NEWMARK DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5448
Practice Address - Country:US
Practice Address - Phone:937-438-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant