Provider Demographics
NPI:1154376358
Name:CARIGNAN, COLEEN (MD)
Entity type:Individual
Prefix:
First Name:COLEEN
Middle Name:
Last Name:CARIGNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5840
Mailing Address - Country:US
Mailing Address - Phone:412-281-0370
Mailing Address - Fax:412-281-0372
Practice Address - Street 1:1632 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5840
Practice Address - Country:US
Practice Address - Phone:412-281-0370
Practice Address - Fax:412-281-0372
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053307L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
001442325008OtherUNITED HEALTHCARE
PA889593OtherBLUE CROSS BLUE SHIELD
271299OtherHEALTH AMERICA
5720146OtherAETNA
PA0016548500006Medicaid
102891OtherUPMC HEALTH PLAN
P00225860OtherRAILROAD MEDICARE
0111196000OtherINDEPENDENCE BLUE SHIELD
PA889593OtherBLUE CROSS BLUE SHIELD
5720146OtherAETNA