Provider Demographics
NPI:1801891593
Name:PILLA, JAMES A (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:PILLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 CHERRINGTON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4318
Mailing Address - Country:US
Mailing Address - Phone:412-262-1000
Mailing Address - Fax:412-262-4607
Practice Address - Street 1:725 CHERRINGTON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4318
Practice Address - Country:US
Practice Address - Phone:412-262-1000
Practice Address - Fax:412-262-4607
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010991L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000195093OtherANTHEM BC/BS
NY00025613701OtherUNIVERA
OH2242791Medicaid
PAPI924251OtherHIGHMARK BC/BS
NY02581542Medicaid
PA0018397740002Medicaid
PA118905Medicaid
PAPI924251OtherHIGHMARK BC/BS
OH000000195093OtherANTHEM BC/BS
PA100015086Medicare ID - Type UnspecifiedRAILROAD MEDICARE
PA0018397740002Medicaid