Provider Demographics
NPI:1366439747
Name:ROMA, REBECCA S (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:ROMA
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 1:115 CONOVER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2601
Mailing Address - Country:US
Mailing Address - Phone:724-472-8847
Mailing Address - Fax:412-626-7910
Practice Address - Street 1:115 CONOVER RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2601
Practice Address - Country:US
Practice Address - Phone:724-472-8847
Practice Address - Fax:412-626-7910
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4244392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012053550001Medicaid
PA1702515OtherHIGHMARK
PA1012053550001Medicaid
PA1702515OtherHIGHMARK