Provider Demographics
NPI:1174649057
Name:JAMES MILLER OPPY MD
Entity Type:Organization
Organization Name:JAMES MILLER OPPY MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MILLER
Authorized Official - Last Name:OPPY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-628-4450
Mailing Address - Street 1:201 N. PITTSBURGH STREET
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425
Mailing Address - Country:US
Mailing Address - Phone:724-628-4450
Mailing Address - Fax:724-626-2580
Practice Address - Street 1:201 N PITTSBURGH ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3233
Practice Address - Country:US
Practice Address - Phone:724-628-4450
Practice Address - Fax:724-626-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2011-07-20
Deactivation Date:2008-01-22
Deactivation Code:
Reactivation Date:2011-07-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA065479OtherBLUE SHIELD
PA065479OtherBLUE SHIELD