Individual provider Active NPI

Carla T Falcon, DO

  • Pediatrics Physician
  • Monroeville, PA
National Provider Identifier
1588667331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS006529L Issued in PA
Practice address
4075 Monroeville Blvd
Ste 125
Monroeville, PA 15146-2526
Phone
(412) 373-1717
Fax
(412) 856-8460
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

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
OS006529LPAMDPediatrics Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS006529L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

4075 Monroeville Blvd
Ste 125
Monroeville, PA 15146-2526

Mailing address

11279 Perry Hwy
Ste 450
Wexford, PA 15090-9303
Phone (724) 933-1100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0011998540003MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588667331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11279 PERRY HWY",
            "address_2": "STE 450",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909303",
            "telephone_number": "724-933-1100",
            "fax_number": "724-933-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MONROEVILLE BLVD",
            "address_2": "STE 125",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462526",
            "telephone_number": "412-373-1717",
            "fax_number": "412-856-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "CARLA",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS006529L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011998540003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.