Provider Demographics
NPI:1134153265
Name:ROONEY, JOSEPH W (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:ROONEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SHARON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-3147
Mailing Address - Country:US
Mailing Address - Phone:724-728-9202
Mailing Address - Fax:
Practice Address - Street 1:701 SHARON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-3147
Practice Address - Country:US
Practice Address - Phone:724-728-9202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038727L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103083OtherHIGHMARK
PA0010777530005Medicaid
PA103083OtherHIGHMARK
C30061Medicare UPIN
PA103083Medicare ID - Type Unspecified
PA060037868Medicare PIN
PA103083H1RMedicare PIN