1235108564 NPI number — CARMEN P GIOIA D.C.

Table of content: CARMEN P GIOIA D.C. (NPI 1235108564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235108564 NPI number — CARMEN P GIOIA D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIOIA
Provider First Name:
CARMEN
Provider Middle Name:
P
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1235108564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 N STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLAIRTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15025-2245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-233-3600
Provider Business Mailing Address Fax Number:
412-233-3702

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 N STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAIRTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15025-2245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-233-3600
Provider Business Practice Location Address Fax Number:
412-233-3702
Provider Enumeration Date:
03/17/2006

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: 111N00000X , with the licence number:  DC002241L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: 3502 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 070277 . This is a "KEYSTONE HEALTH PLAN WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1018023 . This is a "AMERICAN SPECIALTY HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3798845 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 411076 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5797204 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007883850001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 070277 . This is a "HIGHMARK BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100345 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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