Provider Demographics
NPI:1134121239
Name:CAMPBELL & PHILBIN MEDICAL ASSOCIATES P C
Entity Type:Organization
Organization Name:CAMPBELL & PHILBIN MEDICAL ASSOCIATES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KARAFFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-281-2575
Mailing Address - Street 1:1400 LOCUST ST
Mailing Address - Street 2:STE 5109
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5114
Mailing Address - Country:US
Mailing Address - Phone:412-281-2575
Mailing Address - Fax:412-281-3790
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:STE 5109
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-281-2575
Practice Address - Fax:412-281-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-02
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039629E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA016192700015Medicaid
PA468152Medicare PIN