1518900653 NPI number — DR. MICHAEL FRANTZ D.O.

Table of content: DR. MICHAEL FRANTZ D.O. (NPI 1518900653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518900653 NPI number — DR. MICHAEL FRANTZ D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANTZ
Provider First Name:
MICHAEL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518900653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1326 FREEPORT RD
Provider Second Line Business Mailing Address:
SUITE 325
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15238-3131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-963-7119
Provider Business Mailing Address Fax Number:
412-963-0164

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1326 FREEPORT RD
Provider Second Line Business Practice Location Address:
SUITE 325
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15238-3131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-963-7119
Provider Business Practice Location Address Fax Number:
412-963-0164
Provider Enumeration Date:
06/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  OS013227 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1015071220002 . This is a "CBHNP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000207516 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1813025 . This is a "HIGHMARK FEP PPO PROGRAM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2363197 . This is a "CIGNA BEHAVIORAL HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 600019106 . This is a "MAGELLAN BEHAVIORAL HEALT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1813025 . This is a "HIGHMARK MANAGED CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1813025 . This is a "ALL OTHER BCBS PLANS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 602998 . This is a "VALUE OPTIONS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 251830792 . This is a "MH NET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1015071220002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 251830792 . This is a "INTERGROUP CORP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 251830792 . This is a "CORP HEALTH/HUMANA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2752863 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9478232 . This is a "MULTI PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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