Provider Demographics
NPI:1366442154
Name:BUCHINSKY, FARREL J (MD)
Entity Type:Individual
Prefix:
First Name:FARREL
Middle Name:J
Last Name:BUCHINSKY
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 1:490 E NORTH AVE STE 515
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4780
Mailing Address - Country:US
Mailing Address - Phone:412-681-2300
Mailing Address - Fax:412-681-6959
Practice Address - Street 1:490 E NORTH AVE STE 515
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4780
Practice Address - Country:US
Practice Address - Phone:412-681-2300
Practice Address - Fax:412-681-6959
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062982L207Y00000X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1812503000Medicaid
OH2258579Medicaid
PA001858690Medicaid
PA001858690Medicaid
WV1812503000Medicaid
PA0018586900001Medicaid
PAH05767Medicare UPIN