1407996978 NPI number — OLIVER W. CAMINOS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407996978 NPI number — OLIVER W. CAMINOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OLIVER W. CAMINOS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PITTSBURGH CARDIOVASCULAR INSTITUTE
Provider Other Organization Name Type Code:
3
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:
1407996978
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 JAMES PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15146-3445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-373-7900
Provider Business Mailing Address Fax Number:
412-372-1645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 JAMES PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-3445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-373-7900
Provider Business Practice Location Address Fax Number:
412-372-1645
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CAMINOS
Authorized Official First Name:
OLIVER
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
412-372-2035

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD035918L , 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: 0007237000001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0343917 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 205751 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000065031 . This is a "UNISON ADMINISTRATIVE SERVICES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1008637 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1361782 . This is a "UMWA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 219771 . This is a "HEALTH AMERICA/HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 198494 . This is a "KEYSTONE HEALTH PLAN WEST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9618472 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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