Provider Demographics
NPI:1235314428
Name:DIPLACIDO, AMY JO (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:DIPLACIDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SHERIDAN STREET
Mailing Address - Street 2:RENAISSANCE FAMILY PRACTICE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-2639
Mailing Address - Country:US
Mailing Address - Phone:412-821-2277
Mailing Address - Fax:
Practice Address - Street 1:111 SHERIDAN STREET
Practice Address - Street 2:RENAISSANCE FAMILY PRACTICE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15209-2639
Practice Address - Country:US
Practice Address - Phone:412-821-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438626207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1235314428OtherNPI