Provider Demographics
NPI:1235108564
Name:GIOIA, CARMEN P (DC)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:P
Last Name:GIOIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-2245
Mailing Address - Country:US
Mailing Address - Phone:412-233-3600
Mailing Address - Fax:412-233-3702
Practice Address - Street 1:801 N STATE ST
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-2245
Practice Address - Country:US
Practice Address - Phone:412-233-3600
Practice Address - Fax:412-233-3702
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002241L111N00000X
SC3502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
070277OtherKEYSTONE HEALTH PLAN WEST
1018023OtherAMERICAN SPECIALTY HEALTH
3798845OtherCIGNA
411076OtherHEALTH AMERICA
PA5797204OtherAETNA
PA0007883850001Medicaid
070277OtherHIGHMARK BLUE CROSS
PA100345OtherUPMC HEALTH PLAN
1018023OtherAMERICAN SPECIALTY HEALTH
3798845OtherCIGNA