Western PA Neurology PC
Organization Active NPI Specialist · Belle Vernon, PA
NPI 1760418255 · NPPES record last updated Jan 10, 2013
Key facts
- NPI
- 1760418255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- WESTERN PA NEUROLOGY PC
- Practice address
- 100 Peasant Village LN
Belle Vernon, PA 15012-4333 - Phone
- (724) 929-7800
- Fax
- (724) 929-3229
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles Patrick Gennaula, M.D.
- Title
- President
- Phone
- (724) 929-7800
Practitioners 1
National Provider Directory
Locations
100 Peasant Village Ln
Rostraver Township, PA 15012
Phone (724) 929-1600
100 Peasant Village Ln
Ste 100
Rostraver Township, PA 15012
Phone (724) 929-7800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
100 Peasant Village LN
Belle Vernon, PA 15012-4333
Mailing address
100 Peasant Village LN
Belle Vernon, PA 15012-4333
Phone (724) 929-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015218170004 | Medicaid | PA | |
| 0018903290001 | Medicaid | PA | |
| 1012188630001 | Medicaid | PA |
Other providers in Belle Vernon, PA
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- George Eric Walt
- Edwin D Wells
- West Newton Family Practice
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- Erin L. Wilkerson
- Leanna Marie Wilson
- Laura E Wright
- Patricia Reardon Zamiska
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All providers in Belle Vernon, PA · Specialist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2013. 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.