Provider Demographics
NPI:1407844319
Name:ENCARNACION, CAROL FELISA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:FELISA
Last Name:ENCARNACION
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:CBO
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:814-373-2923
Mailing Address - Fax:814-333-5640
Practice Address - Street 1:764 KENNEDY ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2209
Practice Address - Country:US
Practice Address - Phone:814-373-2195
Practice Address - Fax:814-373-2197
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2014-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD420301207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019347910003Medicaid
PA440004052OtherRAILROAD MEDICARE
PAEN122227OtherBLUE CROSS/BLUE SHIELD
PA1427232OtherSELECT BLUE
PA319230OtherUPMC NUMBER
PA065000RMSMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
PA440004052OtherRAILROAD MEDICARE