Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 35084464 | OH |
Y | 207RN0300X | Nephrologist | MD074336 | PA |
NPI | 1073515292 |
---|---|
Provider Name | John P. Jancarik |
First Address | Avalon, PA 15202-2706 |
Second Address | Avalon, PA 15202-2706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000157621 | (05) | PA |
000000337048 | ANTHEM BC/BS (01) | OH |
1010919060003 | (05) | PA |
1541459 | (05) | PA |
1620798 | HIGHMARK BC/BS (01) | PA |
245504 | HEALTH AM./ASSUR. (01) | PA |
2497981 | (05) | OH |
251423634027 | MT. STATE BC/BS (01) | WV |
410364 | UPMC (01) | PA |
7383591 | AETNA (01) |