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 | 282N00000X | General Acute Care Hospital | | | | 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 | 390164 | OTHER | PENNSYLVANIA | HEALTHAMERICA NUMBER |
| 2 | 0012010 | OTHER | PENNSYLVANIA | SHY AETNA HMO NUMBER |
| 3 | 0101249 | MEDICAID | WEST VIRGINIA | |
| 4 | 0001672000 | MEDICAID | WEST VIRGINIA | |
| 5 | 7066379 | OTHER | PENNSYLVANIA | UNITED HEALTHCARE NUMBER |
| 6 | 0013 | OTHER | PENNSYLVANIA | BLUE CROSS NUMBER |
| 7 | 7061889 | MEDICAID | OHIO | |
| 8 | 1000019040029 | OTHER | PENNSYLVANIA | PA MEDICAID NUMBER |
| 9 | 0006491150 | OTHER | PENNSYLVANIA | AENTA US HEALTHCARE NUMBE |
| 10 | 1001449 | OTHER | PENNSYLVANIA | GATEWAY NUMBER |
| 11 | 0000000140485 | OTHER | PENNSYLVANIA | MEDPLUS NUMBER |
| 12 | ========= | OTHER | PENNSYLVANIA | CHAMPUS NUMBER |
| 13 | 00690079 | OTHER | NEW JERSEY | PUH NJ MEDICAID NUMBER |
| 14 | 1001064 | OTHER | PENNSYLVANIA | SHY GATEWAY NUMBER |
| 15 | 39055 | MEDICARE ID-TYPE UNSPECIFIED | PENNSYLVANIA | SHY MEDICARE |
| 16 | 0009609 | OTHER | PENNSYLVANIA | AETNA HMO NUMBER |
| 17 | 00814902 | MEDICAID | NEW YORK | |
| 18 | 29 | OTHER | PENNSYLVANIA | UPMC FOR YOU NUMBER |
| 19 | 29 | OTHER | PENNSYLVANIA | UPMC HEALTH PLAN NUMBER |
| 20 | =========000 | OTHER | PENNSYLVANIA | PUH STATE WV OH WC NUMBER |
