Provider Demographics
NPI:1558583138
Name:DIFRANGIA, ERICA KATHLEEN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:KATHLEEN
Last Name:DIFRANGIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:KATHLEEN
Other - Last Name:MCCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5200 CENTRE AVENUE
Mailing Address - Street 2:SUITE 715
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232
Mailing Address - Country:US
Mailing Address - Phone:412-623-2994
Mailing Address - Fax:412-623-3717
Practice Address - Street 1:5200 CENTRE AVENUE
Practice Address - Street 2:SUITE 715
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15232
Practice Address - Country:US
Practice Address - Phone:412-623-2994
Practice Address - Fax:412-623-3717
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.002249363A00000X
PAMA050786363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH172260Medicare PIN