National Provider Identifier Database

GARY A PACYNA, DPM – NPI #1295795656
Surgery, Foot

Contact Information

GARY A PACYNA, DPM
921 DRINKER TPKE STE 21
COVINGTON TOWNSHIP, PA  18444-7948
Phone: 570-842-0400
Fax: 570-842-1449
Website:
Specialty Taxonomy Code
* Surgery, Foot 213ES0131X
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X
Radiology 213ER0200X
Sports Medicine 213ES0000X

* Indicates primary specialty

NPI Profile & details for GARY A PACYNA

NPI Number 1295795656
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/27/2006
Last updated 09/18/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: 0649380001
  • PA License #: SC003408L
  • PA Medicaid: 0649380001
  • NJ Other: 8193207 UNISYS
  • PA Other: 0575152 AETNA
  • PA Other: 0211163000 BC PERSONAL CHOICE
  • PA Other: 073911 BLUE SHIELD HMO
  • PA Other: 476121 FIRST PRIORITY FOR LIFE
  • PA Other: 30263 5822 GEISINGER GOLD
  • PA Other: 30263 5822 GEISINGER HEALTH PLAN
  • PA Other: 74559 MED PLUS
  • PA Other: 2Y8325 PHS
  • PA Other: 480012183 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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