1538129507 NPI number — ANTHONY F GENTILE MD

Table of content: ANTHONY F GENTILE MD (NPI 1538129507)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538129507 NPI number — ANTHONY F GENTILE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GENTILE
Provider First Name:
ANTHONY
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1538129507
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 18119
Provider Second Line Business Mailing Address:
MOB # 310
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15236-0119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-469-7932
Provider Business Mailing Address Fax Number:
412-469-5493

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3212 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUNHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15120-3230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-464-1802
Provider Business Practice Location Address Fax Number:
412-464-1804
Provider Enumeration Date:
03/24/2006

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: 174400000X , with the licence number:  MD012081E , 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: 0805931 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com