Provider Demographics
NPI:1336117712
Name:LOMAGO, DEAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:F
Last Name:LOMAGO
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 1:127 ONEIDA VALLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2239
Mailing Address - Country:US
Mailing Address - Phone:724-431-4328
Mailing Address - Fax:724-431-2288
Practice Address - Street 1:127 ONEIDA VALLEY RD STE 202
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2239
Practice Address - Country:US
Practice Address - Phone:724-282-4370
Practice Address - Fax:724-431-2288
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34827208G00000X
PAMD064179L208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ995417Medicaid
PA0019203570004Medicaid
AZ107133Medicare ID - Type Unspecified
PA0019203570004Medicaid
PA269904FWCMedicare PIN