Provider Demographics
NPI:1346328697
Name:GIOIA, VINCENT MARK (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:MARK
Last Name:GIOIA
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 1:2230 SUNSET BLVD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2404
Mailing Address - Country:US
Mailing Address - Phone:740-264-7744
Mailing Address - Fax:740-266-3166
Practice Address - Street 1:2230 SUNSET BLVD
Practice Address - Street 2:SUITE ONE
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2404
Practice Address - Country:US
Practice Address - Phone:740-264-7744
Practice Address - Fax:740-266-3166
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059640G207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0788143Medicaid
OH000000128166OtherANTHEM
OHE76049OtherBRICKSTREET
OH0788143Medicaid
OH0671492Medicare PIN
OHE76049OtherBRICKSTREET