Edward Michael Carnvale, DPM
Individual provider Active NPI Podiatrist · Moon Township, PA
NPI 1124040985 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1124040985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- SC002701L (PA)
- Practice address
- 1002 Brodhead Rd
Moon Township, PA 15108 - Phone
- (412) 262-3003
- Fax
- (412) 269-7785
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002701L | PA | Yes |
Addresses
Primary practice location
1002 Brodhead Rd
Moon Township, PA 15108
Mailing address
1002 Brodhead Rd
Moon Township, PA 15108
Phone (412) 262-3003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010736 | Medicaid | PA |
Other providers in Moon Township, PA
- Kelly Elizabeth Brown
- Thomas Alan Brown
- Jonathan Francis Buncke
- Vanessa Campbell
- Hannah Carey
- James Cataldi
- Jennifer Catanzaro
- Sarah Cavolo
- Center for Digestive Health and Nutrition
- Jaclyn Ashley Charie
All providers in Moon Township, PA · Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.