Provider Demographics
NPI:1275535197
Name:SALINAS, JOE A (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:A
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 JOHNSONBURG RD
Mailing Address - Street 2:PENN HIGHLANDS PATHOLOGY - ELK
Mailing Address - City:ST MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-3417
Mailing Address - Country:US
Mailing Address - Phone:814-788-8179
Mailing Address - Fax:814-788-8039
Practice Address - Street 1:763 JOHNSONBURG RD
Practice Address - Street 2:PENN HIGHLANDS PATHOLOGY - ELK
Practice Address - City:ST MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-3417
Practice Address - Country:US
Practice Address - Phone:814-788-8179
Practice Address - Fax:814-788-8039
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049174L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014014520004Medicaid
PA489424Medicare ID - Type Unspecified
PAF49615Medicare UPIN