1881854875 NPI number — JOSEPH R. FALCON JR., M.D., P.C.

Table of content: (NPI 1881854875)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881854875 NPI number — JOSEPH R. FALCON JR., M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH R. FALCON JR., M.D., P.C.
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:
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:
1881854875
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2913 FREEPORT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NATRONA HEIGHTS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15065-1907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-226-3900
Provider Business Mailing Address Fax Number:
724-224-4004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2913 FREEPORT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NATRONA HEIGHTS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15065-1907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-226-3900
Provider Business Practice Location Address Fax Number:
724-224-4004
Provider Enumeration Date:
06/12/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FALCON
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
DOCTOR PRESIDENT/OWNER
Authorized Official Telephone Number:
724-226-3900

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD021036E , 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: 103922 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1394876 . This is a "UMWA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001456167 . This is a "HIGHMARK BC/BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 240003045 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 13669 . This is a "ELDER HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2146596000 . This is a "INDEPENDENCE BC/BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 219496 . This is a "HEALTH AMERICA/HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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