1801891593 NPI number — JAMES A PILLA D.O.

Table of content: JAMES A PILLA D.O. (NPI 1801891593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801891593 NPI number — JAMES A PILLA D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PILLA
Provider First Name:
JAMES
Provider Middle Name:
A
Provider Name Prefix Text:
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:
1801891593
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 CHERRINGTON PKWY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
MOON TOWNSHIP
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15108-4318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-262-1000
Provider Business Mailing Address Fax Number:
412-262-4607

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 CHERRINGTON PKWY
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
MOON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15108-4318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-262-1000
Provider Business Practice Location Address Fax Number:
412-262-4607
Provider Enumeration Date:
06/17/2005

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: 207RG0100X , with the licence number:  OS010991L , 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: 000000195093 . This is a "ANTHEM BC/BS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 00025613701 . This is a "UNIVERA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2242791 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: PI924251 . This is a "HIGHMARK BC/BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 02581542 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0018397740002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 118905 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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