Provider Demographics
NPI:1538151899
Name:BATTISTELLA, GENE MICHAEL (DO)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:MICHAEL
Last Name:BATTISTELLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 BOWER HILL ROAD
Mailing Address - Street 2:ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-942-2584
Mailing Address - Fax:
Practice Address - Street 1:27 HECKEL RD STE 212
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1695
Practice Address - Country:US
Practice Address - Phone:412-777-4319
Practice Address - Fax:412-777-4390
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 008311L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
562437OtherAETNA
P000966OtherGATEWAY HEALTH PLAN
110224602OtherRAILROAD MEDICARE
000000099147OtherUNISON HEALTH PLAN
PA0015785600002Medicaid
251175OtherUPMC HEALTH PLAN
G43127OtherHEALTH AMERICA
PA0967623000OtherINDEPENDENCE BLUE SHIELD
000000099147OtherUNISON HEALTH PLAN