Provider Demographics
NPI:1134120264
Name:STANISH, FRANK X (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:X
Last Name:STANISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SUITE 461
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-466-6800
Mailing Address - Fax:412-466-8534
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SUITE 461
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-466-6800
Practice Address - Fax:412-466-8534
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD030653L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31520Medicare UPIN
PA140134VSCMedicare PIN