Provider Demographics
NPI:1891746418
Name:VINARSKI, IRNIA (MD)
Entity Type:Individual
Prefix:
First Name:IRNIA
Middle Name:
Last Name:VINARSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 GANDER DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8567
Mailing Address - Country:US
Mailing Address - Phone:412-490-2500
Mailing Address - Fax:412-490-2510
Practice Address - Street 1:205 GANDER DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8567
Practice Address - Country:US
Practice Address - Phone:412-490-2500
Practice Address - Fax:412-490-2510
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-065806L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
110220933OtherRAILROAD MEDICARE PTAN
PA0017012340006Medicaid
PA0017012340006Medicaid
110220933OtherRAILROAD MEDICARE PTAN