Provider Demographics
NPI:1912973447
Name:VOCKLEY, GERARD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:
Last Name:VOCKLEY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:JERRY
Other - Middle Name:
Other - Last Name:VOCKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:4401 PENN AVENUE
Mailing Address - Street 2:RANGOS RESEARCH CENTER, STE. 5116
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4401 PENN AVENUE
Practice Address - Street 2:UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3205
Practice Address - Country:US
Practice Address - Phone:412-692-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423265170100000X, 207SG0201X, 207SG0202X, 246ZG1000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics
No246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE47470Medicare UPIN
PA076261EBOMedicare ID - Type Unspecified