Dr. Gary A Pacyna
Podiatrist Radiology Sports Medicine Foot Surgery
921 Drinker Tpke Ste 21
Covington Township
, Pennsylvania 18444-7948
Dr. Gary A Pacyna
Podiatrist Radiology Sports Medicine Foot Surgery
921 Drinker Tpke Ste 21
Covington Township
, Pennsylvania 18444-7948
(570) 842-1449
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About
Features
Specialties
- Podiatrist
- Radiology
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Gary A Pacyna
- 921 Drinker Tpke Ste 21
- Covington Township, PA
- Zip : 18444-7948
- Fax : (570) 842-1449
- Phone : (570) 842-0400
Second Address
- Dr. Gary A Pacyna
- 921 Drinker Tpke Ste 21
- Covington Township, PA
- Zip : 18444-7948
- Fax : (570) 842-1449
- Phone : (570) 842-0400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC003408L | PA |
| N | 222Z00000X | Podiatrist | SC003408L | PA |
| N | 111NR0200X | Radiology | SC003408L | PA |
| N | 213ER0200X | Radiology | SC003408L | PA |
| N | 2081S0010X | Sports Medicine | SC003408L | PA |
| N | 213ES0000X | Sports Medicine | SC003408L | PA |
| Y | 213ES0131X | Foot Surgery | SC003408L | PA |
National Provider Identifier
| NPI | 1295795656 |
|---|---|
| Provider Name | Dr. Gary A Pacyna |
| First Address | Covington Township, PA 18444-7948 |
| Second Address | Covington Township, PA 18444-7948 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 18/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0211163000 | BC PERSONAL CHOICE (01) | PA |
| 0575152 | AETNA (01) | PA |
| 0649380001 | (05) | PA |
| 073911 | BLUE SHIELD HMO (01) | PA |
| 2Y8325 | PHS (01) | PA |
| 30263 5822 | GEISINGER GOLD (01) | PA |
| 30263 5822 | GEISINGER HEALTH PLAN (01) | PA |
| 476121 | FIRST PRIORITY FOR LIFE (01) | PA |
| 480012183 | RAILROAD MEDICARE (01) | PA |
| 74559 | MED PLUS (01) | PA |
| 8193207 | UNISYS (01) | NJ |
| T87937 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.