Provider Demographics
NPI:1255313938
Name:FARONE, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:FARONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 N KERRWOOD DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-5207
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 HIGHLAND RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4601
Practice Address - Country:US
Practice Address - Phone:724-981-9306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006800L207R00000X
OH34-00-6921207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA34-00-6921OtherOHIO MEDICAL LICENSE
PAOS006800LOtherPA MEDICAL LICENSE
PA001258033-0014Medicaid
E70594Medicare UPIN
PAOS006800LOtherPA MEDICAL LICENSE
PA476036PD7Medicare PIN