Provider Demographics
NPI:1831194380
Name:VALUSKA, JAMES WILLIAM JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:WILLIAM
Last Name:VALUSKA
Suffix:JR
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 1:9930 GRUBBS ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-4756
Mailing Address - Country:US
Mailing Address - Phone:412-364-3805
Mailing Address - Fax:412-364-3479
Practice Address - Street 1:9930 GRUBBS ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-4756
Practice Address - Country:US
Practice Address - Phone:412-364-3805
Practice Address - Fax:412-364-3479
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-7941-V208600000X
PAMD068795L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018978300003Medicaid
WV7300358000Medicaid
OH2184032Medicaid
PA0018978300003Medicaid
PA099548NJ8Medicare PIN
OHVA4017083Medicare PIN
PAP00414716Medicare PIN
OH2184032Medicaid
OH4017081Medicare PIN