Provider Demographics
NPI:1518051234
Name:FINO, GREGORY JOHN (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:JOHN
Last Name:FINO
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 1:1000 BOWER HILL ROAD
Mailing Address - Street 2:ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-924-2548
Mailing Address - Fax:
Practice Address - Street 1:1000 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1899
Practice Address - Country:US
Practice Address - Phone:412-942-2025
Practice Address - Fax:412-942-2032
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019430E207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00057786OtherRAILROAD MEDICARE
000000141679OtherUNISON HEALTH PLAN
1529820OtherGATEWAY HEALTH PLAN
C30830OtherHEALTH AMERICA
PA0008949690002Medicaid
100279OtherUPMC HEALTH PLAN
PA123346OtherHIGHMARK BLUE SHIELD
PA123346OtherHIGHMARK BLUE SHIELD
C30830OtherHEALTH AMERICA