1053621904 NPI number — MRS. ROBIN LYNN CHIMILE CHILESKI PA-C

Table of content: MRS. ROBIN LYNN CHIMILE CHILESKI PA-C (NPI 1053621904)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053621904 NPI number — MRS. ROBIN LYNN CHIMILE CHILESKI PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHILESKI
Provider First Name:
ROBIN
Provider Middle Name:
LYNN CHIMILE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
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:
CHIMILE
Provider Other First Name:
ROBIN
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1053621904
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1808 WATERFRONT PLACE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-494-3832
Provider Business Mailing Address Fax Number:
412-361-3901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5750 CENTRE AVE
Provider Second Line Business Practice Location Address:
SUITE 360
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15206-3721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-361-3950
Provider Business Practice Location Address Fax Number:
412-361-3901
Provider Enumeration Date:
10/13/2010

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: 363AS0400X , with the licence number:  MA054557 , 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)





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