1043242597 NPI number — GREGORY A BISIGNANI, MD. PC

Table of content: (NPI 1043242597)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043242597 NPI number — GREGORY A BISIGNANI, MD. PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREGORY A BISIGNANI, MD. PC
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:
1043242597
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
522 W NEWTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-2820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-853-8922
Provider Business Mailing Address Fax Number:
724-853-8925

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
522 W NEWTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-2820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-853-8922
Provider Business Practice Location Address Fax Number:
724-853-8925
Provider Enumeration Date:
07/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BISIGNANI
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
ALFRED
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-853-8922

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  MD056939L , 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: 1671369 . This is a "GATEWAY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0099740000 . This is a "INDEPENDENCE BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 338522 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CG5842 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: V02325 . This is a "UPMC HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2163706 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0018016790001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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