1629024690 NPI number — PREMIER WOMEN'S HEALTH, LTD

Table of content: CAMERON EDWARD PALADINO MD (NPI 1992265862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629024690 NPI number — PREMIER WOMEN'S HEALTH, LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER WOMEN'S HEALTH, LTD
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:
1629024690
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 OHIO RIVER BLVD
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
SEWICKLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15143-1300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-741-6530
Provider Business Mailing Address Fax Number:
412-741-6570

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 OHIO RIVER BLVD
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
SEWICKLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15143-1300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-741-6530
Provider Business Practice Location Address Fax Number:
412-741-6570
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LABUDA
Authorized Official First Name:
BRYAN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-741-6530

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  OS006958L , 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: 1011237050001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com