Provider Demographics
NPI:1326007790
Name:POWER, JOHN A (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:POWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 LOTHROP STREET UPMC PHYSICIAN SERVICES
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-683-7815
Mailing Address - Fax:412-683-7819
Practice Address - Street 1:5200 CENTRE AVENUE
Practice Address - Street 2:SUITE 603
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232
Practice Address - Country:US
Practice Address - Phone:412-683-7815
Practice Address - Fax:412-683-7819
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031999E207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2910194Medicaid
PA0001198964Medicaid
WV0189508000Medicaid
PAP00821210Medicare PIN
PA407981YBOYMedicare PIN
PA407981GXEMedicare PIN
WV0189508000Medicaid
PA407981DXCMedicare PIN
PAP00900863Medicare PIN