Provider Demographics
NPI:1407996978
Name:OLIVER W. CAMINOS
Entity Type:Organization
Organization Name:OLIVER W. CAMINOS
Other - Org Name:PITTSBURGH CARDIOVASCULAR INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAMINOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-372-2035
Mailing Address - Street 1:200 JAMES PL
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3445
Mailing Address - Country:US
Mailing Address - Phone:412-373-7900
Mailing Address - Fax:412-372-1645
Practice Address - Street 1:200 JAMES PL
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3445
Practice Address - Country:US
Practice Address - Phone:412-373-7900
Practice Address - Fax:412-372-1645
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PITTSBURGH CARDIOVASCULAR INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-07
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035918L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007237000001Medicaid
OH0343917Medicaid
PA205751OtherUPMC HEALTH PLAN
PA000000065031OtherUNISON ADMINISTRATIVE SERVICES
PA1008637OtherGATEWAY HEALTH PLAN
PA1361782OtherUMWA
PA219771OtherHEALTH AMERICA/HEALTH ASSURANCE
PA198494OtherKEYSTONE HEALTH PLAN WEST
PA9618472OtherCIGNA
PA219771OtherHEALTH AMERICA/HEALTH ASSURANCE
PA0007237000001Medicaid
PA000000065031OtherUNISON ADMINISTRATIVE SERVICES