Provider Demographics
NPI:1952379240
Name:FALCON, JOSEPH RICHARD JR (MD PC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:FALCON
Suffix:JR
Gender:M
Credentials:MD PC
Other - Prefix:
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Mailing Address - Street 1:2913 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065
Mailing Address - Country:US
Mailing Address - Phone:724-226-3900
Mailing Address - Fax:724-224-4004
Practice Address - Street 1:2913 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065
Practice Address - Country:US
Practice Address - Phone:724-226-3900
Practice Address - Fax:724-224-4004
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021036E208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001456167OtherHIGHMARK
PA1024096630002Medicaid
2146596000OtherINDEPENDENCE BC/BS
PA21946OtherHEALTH AMERICA
PA240003045OtherRR MED
PA13669OtherBRAVO
PA103922OtherUPMC HEALTH PLAN
PA1024096630001Medicaid
PA1024096630002Medicaid
PA1024096630001Medicaid