Provider Demographics
NPI:1730150434
Name:MEISNER, DENNIS
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:MEISNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, N430
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3204 JOHNSON RD
Practice Address - Street 2:SUITE 10
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2354
Practice Address - Country:US
Practice Address - Phone:740-266-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043235E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11025716MOtherCAQH
WV3810001947Medicaid
PAOO11551520007Medicaid
PA001155152Medicaid
PA039184OtherHIGHMARK
OH000000559942OtherANTHEM BC/BS
OH0796045Medicaid
WVB82548OtherMOUNTAIN STATE BC/BS
PA001155152Medicaid
PAB82548Medicare UPIN
WV3810001947Medicaid
OH4234281Medicare PIN
PA11025716MOtherCAQH