Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 287669 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | MD062765L | PA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 287669 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD069265L | PA |
NPI | 1083665442 |
---|---|
Provider Name | Dr. James A Storey |
First Address | Butler, PA 16003-1549 |
Second Address | Butler, PA 16001-4670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 01/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04700487 | (05) | NY |
04925331 | (05) | MS |
05155761 | (05) | AL |
510-03744 | BC/BS (01) | AL |