Provider Demographics
NPI:1922055946
Name:SALTRELLI, BARBARA KEVISH
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:KEVISH
Last Name:SALTRELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HOSPITAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2733
Mailing Address - Country:US
Mailing Address - Phone:843-842-9600
Mailing Address - Fax:843-842-9700
Practice Address - Street 1:18 HOSPITAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2733
Practice Address - Country:US
Practice Address - Phone:843-842-9600
Practice Address - Fax:843-842-9700
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056815L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016005180001Medicaid
PA877740OtherHIGHMARK
PA877740OtherHIGHMARK
PAG30490Medicare UPIN