Provider Demographics
NPI:1538364914
Name:MIELE, VINCENT J (MD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:J
Last Name:MIELE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9100 BABCOCK BLVD
Mailing Address - Street 2:2 MAIN, SUITE 2096
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5815
Mailing Address - Country:US
Mailing Address - Phone:877-635-5234
Mailing Address - Fax:412-748-7644
Practice Address - Street 1:527 MEDICAL PARK DRIVE, SUITE 401
Practice Address - Street 2:UHC NEUROSURGERY & SPINE CENTER
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26300
Practice Address - Country:US
Practice Address - Phone:681-342-3500
Practice Address - Fax:681-342-3561
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35089132207T00000X
PAMD422781207T00000X
WVMD20977207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2750438Medicaid
OH2750438Medicaid
OHMI7376751Medicare PIN