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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