Provider Demographics
NPI:1356370043
Name:ONUFER, ANITA A C (DPM)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:A C
Last Name:ONUFER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:ANITA
Other - Middle Name:AC
Other - Last Name:ONUFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:2209 ARDMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221
Mailing Address - Country:US
Mailing Address - Phone:412-351-7003
Mailing Address - Fax:412-351-7004
Practice Address - Street 1:2209 ARDMORE BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221
Practice Address - Country:US
Practice Address - Phone:412-351-7003
Practice Address - Fax:412-351-7004
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003526L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000060177OtherUNISON HEALTH PLAN OF PA
PA1219840Medicaid
U05775Medicare UPIN
480010313Medicare ID - Type UnspecifiedPALMETTO GBA
PA1219840Medicaid