DR. VANESSA S. CARLO MD NPI 1689685018

NPI Information

NPI: 1689685018
Provider Name: DR. VANESSA S. CARLO, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
833 CHESTNUT STREET EAST
SUITE 300
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 861-8800
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DR. Vanessa S. Carlo, MD is a general practice in Philadelphia, PA. DR. Vanessa S. Carlo, MD NPI is 1689685018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

833 CHESTNUT STREET EAST
SUITE 300
PHILADELPHIA, PA
ZIP 19107-405
Phone: (215) 861-8800
Fax: (215) 861-8815

The NPI 1689685018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208M00000X	Hospitalist	MD426498	PENNSYLVANIA	No
2	208000000X	Pediatrics	2007014586	MISSOURI	No
3	208D00000X	General Practice	MD426498	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	$$$$$$$$$	MEDICAID	ILLINOIS
2	OTH00002	MEDICARE UPIN
3	325780381	MEDICARE PIN
4	207281700	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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