Provider Demographics
NPI:1831621226
Name:MOONEY, JAMES HENRY
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HENRY
Last Name:MOONEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SURGERY SERVICE 2A-112, 4100 ALLEQUIPPA STREET
Mailing Address - Street 2:UNIVERSITY DRIVE C, BUILDING 1
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1900
Mailing Address - Country:US
Mailing Address - Phone:412-360-3541
Mailing Address - Fax:
Practice Address - Street 1:SURGERY SERVICE 2A-112, 4100 ALLEQUIPPA STREET
Practice Address - Street 2:UNIVERSITY DRIVE C, BUILDING 1
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-360-3541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD484109207T00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program