Organization
ID CARE AND TRAVEL HEALTH OF NORTHWEST PA, P.C.
Active
Organization
ID CARE AND TRAVEL HEALTH OF NORTHWEST PA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL FELISA ENCARNACION M.D., M.P.H. (PHYSICIAN-OWNER)
(814) 373-2195
Entity
Organization
Contact information
Practice address
764 KENNEDY ST, SUITE 303, MEADVILLE, PA 16335-2209
(814) 373-2195
(914) 373-2197
Mailing address
764 KENNEDY ST, SUITE 303, MEADVILLE, PA 16335-2209
(814) 373-2195
(914) 373-2197
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD420301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427232
HIGHMARK PROVIDER NUMBER
PA
01
—
DA1188
RR MEDICARE GROUP NUMBER
PA
01
—
MEDPLUS
139871
PA
01
—
UPMC
319230
PA
Enumeration date
03/19/2007
Last updated
08/22/2020
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