1619226586 NPI number — DR. KATHERINE ELIZABETH BRIGHT D'ANTONIO PHD PA-C

Table of content: DR. KATHERINE ELIZABETH BRIGHT D'ANTONIO PHD PA-C (NPI 1619226586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619226586 NPI number — DR. KATHERINE ELIZABETH BRIGHT D'ANTONIO PHD PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
D'ANTONIO
Provider First Name:
KATHERINE
Provider Middle Name:
ELIZABETH BRIGHT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD PA-C
Provider Gender Code:
F

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:
1619226586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 CORAOPOLIS HEIGHTS BLVD SUITE F
Provider Second Line Business Mailing Address:
UPMC CANCER CENTERS MOON/SEWICKLEY
Provider Business Mailing Address City Name:
CORAOPOLIS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-329-2532
Provider Business Mailing Address Fax Number:
412-329-2540

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9707 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
# 300
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-424-6231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2012

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: 363AM0700X , with the licence number:  C0004674 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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