Individual
ROBERT S. MACINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN217354
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN345991L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008005ZB29
MEDICARE PTAN
PA
01
—
12321213
CAQH
—
01
—
P01204968
MEDICARE RAILROAD
PA
Enumeration date
06/20/2006
Last updated
12/12/2018
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