Provider Demographics
NPI:1447295407
Name:SAELINGER, DONALD A (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:SAELINGER
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 1:17 E. SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1803
Mailing Address - Country:US
Mailing Address - Phone:859-431-8285
Mailing Address - Fax:859-431-8286
Practice Address - Street 1:17 E. SIXTH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41017-1803
Practice Address - Country:US
Practice Address - Phone:859-431-8285
Practice Address - Fax:859-431-8286
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.037399207RG0100X
KY17367207RG0100X
IN01068075A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64173677Medicaid
INPENDINGMedicaid
IN000000654276OtherANTHEM PROVIDER NUMBER
OH0289236Medicaid
KY100009313OtherRAILROAD MEDICARE
KY100009313OtherRAILROAD MEDICARE
INPENDINGMedicaid
IN000000654276OtherANTHEM PROVIDER NUMBER
KY008580091Medicare PIN
OH0289236Medicaid