1134266992 NPI number — EMILIANO L LIMCUANDO MD PC

Table of content: (NPI 1134266992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134266992 NPI number — EMILIANO L LIMCUANDO MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMILIANO L LIMCUANDO 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:
1134266992
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 S CENTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERSET
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15501-2239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-445-4181
Provider Business Mailing Address Fax Number:
814-445-3993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 S CENTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15501-2239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-445-4181
Provider Business Practice Location Address Fax Number:
814-445-3993
Provider Enumeration Date:
01/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LIMCUANDO
Authorized Official First Name:
EMILIANO
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
814-445-4181

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  MD034119L , 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: 6486 . This is a "HEALTH ANERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: LI126301 . This is a "HIGHMARK BC BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0006110430001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1038093 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 556122 . This is a "AETNA US HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 207930 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0049662 . This is a "UMWAHEALTH&RETIREMENT FUN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 846398ML2 . This is a "MAMSI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com