LYANNE MARIE CARABALLO (NPI# 1003394545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003394545 |
| Entity Type | Individual |
| Full Name | LYANNE MARIE CARABALLO |
| Credential | PA |
| Practice Address |
1000 Integrity Dr Ste 110 Pittsburgh PA 15235-3332 |
| Mailing Address |
5200 Centre Ave Ste 312 Pittsburgh PA 15232-1302 |
| Practice Telephone | 4123420036 |
| Practice Fax Number | 4123420041 |
| Mailing Telephone | 4126217777 |
| Mailing Fax Number | 4126838698 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
PA9111440 | FL | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9111440 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5200 Centre Ave Ste 312, Pittsburgh, PA 152321302 | 4126217777 | 4126838698 |
| Street Address |
1000 INTEGRITY DR STE 110 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15235-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000358 | Shirley Ann Campbell | Physical Therapy Assistant | 204 Pheasant Drive, Pittsburgh, PA 15235 | 2020-07-21 |
| 1932740537 | Janelle Doris Waller | Technician | 204 Kingston Dr., Pittsburgh, PA 15235 | 2019-10-04 |
| 1518477546 | Dana Abrah Dimatteo | Pharmacist | 12238 Frankstown Road, Pittsburgh, PA 15235 | 2017-10-04 |
| 1700309556 | Wesley David Cox | Optometrist | 645 Rodi Rd Ste 100, Pittsburgh, PA 15235 | 2017-07-24 |
| 1194257980 | Continuum Pediatric Nursing | Nursing Care | 645 Rodi Road, Building 3 Suite 201, Pittsburgh, PA 15235 | 2017-03-30 |
| 1518407717 | Akita Marie Donald | Counselor | 201 Penn Center Blvd Ste 555, Pittsburgh, PA 15235 | 2017-03-07 |
| 1902250780 | Girma Gutema Hundie | Physician Assistant | 431 Wilson Drive, Pittsburgh, PA 15235 | 2016-04-19 |
| 1073988093 | Kyoko Henson | Counselor | 412 Guylyn Drive, Pittsburgh, PA 15235 | 2015-12-02 |
| 1790027647 | Walter Lee Shaffer | Family Medicine | 309 Surrey Pl, Pittsburgh, PA 15235 | 2013-03-19 |
| 1730450925 | Kate Nicole Pompa | Counselor | 121 Erhardt Drive, Pittsburgh, PA 15235 | 2012-01-19 |
| Find all providers in zip 15235 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
| 1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
| 1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
| 1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
| 1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
| 1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
| 1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
| 1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15235 |
Please comment or provide details below to improve the information on LYANNE MARIE CARABALLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.