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 |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 3416L0300X | Ambulance | Land Transport | | | 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 |
Other Provider Identifier Issuer |
| 1 | 1096307 | OTHER | PENNSYLVANIA | COMBINED INSURANCE OF AMERICAN |
| 2 | X003737601 | OTHER | PENNSYLVANIA | AMERICHOICE OF PA |
| 3 | 000462006 | OTHER | PENNSYLVANIA | UNITED HEALTHCARE |
| 4 | 100046200601 | OTHER | | AMERICHOICE OF NY |
| 5 | 285977 | OTHER | PENNSYLVANIA | HIGHMARK BLUE SHIELF |
| 6 | 99131 | OTHER | PENNSYLVANIA | HEALTH AMERICAN |
| 7 | 1506376 | OTHER | PENNSYLVANIA | GATEWAY HEALTH PLAN |
| 8 | 30028383 | OTHER | PENNSYLVANIA | KEYSTONE FIRST |
| 9 | 1007717 | OTHER | PENNSYLVANIA | AMERIHEALTH CARITAS |
| 10 | 30478 | OTHER | PENNSYLVANIA | GEISINGER HEALTH PLAN |
| 11 | 0020649000 | OTHER | PENNSYLVANIA | INDEPENCENCE BLUE CROSS/PERSONAL CHOICE |
| 12 | 000000133382 | OTHER | PENNSYLVANIA | UNISON HEALTH PLAN |
| 13 | 0012989320001 | MEDICAID | PENNSYLVANIA | |
| 14 | 0020649000 | OTHER | PENNSYLVANIA | KEYSTONE HEALTH PLAN EAST |
| 15 | 50002920 | OTHER | PENNSYLVANIA | CAPITAL BLUE CROSS |
| 16 | 50002920 | OTHER | PENNSYLVANIA | SENIOR BLUE |
| 17 | 0020649000 | OTHER | PENNSYLVANIA | AMERIHEALTH |
