Organization
FRG CENTRAL PA PC
Active
Organization
FRG CENTRAL PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J. PISULA (COO)
(412) 551-0011
Entity
Organization
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Mailing address
PO BOX 60, PITTSBURGH, PA 15230-0060
(412) 937-5726
(412) 937-5706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022369280001
—
PA
Enumeration date
10/07/2008
Last updated
05/20/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up