Individual provider Active NPI

Robert P Cincala, D.O.

  • Gastroenterology Physician
  • Wexford, PA
National Provider Identifier
1396736419
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS003024L Issued in PA
Practice address
5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260
Phone
(724) 933-1420
Fax
(724) 933-1439
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS003024L PA Primary

Addresses

Primary practice location

5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260

Mailing address

5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260
Phone (724) 933-1420

Other identifiers 1

IdentifierTypeStateIssuer
0006015930003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS003024LPAMDGastroenterology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1396736419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420",
            "fax_number": "724-933-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420",
            "fax_number": "724-933-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCALA",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS003024L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006015930003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.