Provider Demographics
NPI:1386792398
Name:SCANNAPIECO, MICHELLE A (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:SCANNAPIECO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1205 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1219
Practice Address - Country:US
Practice Address - Phone:215-710-4480
Practice Address - Fax:215-710-4485
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD074252L207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1412771OtherHIGHMARK BLUE SHIELD
PAP012103OtherGATEWAY
PA1025511250001Medicaid
PAP00926827OtherRAILROAD MEDICARE
PA30097430OtherKEYSTONE FIRST
PA2099608000OtherKEYSTONE IBC
PA9521472OtherAETNA
PA0415441OtherCIGNA PA
PA059320R52Medicare PIN
PA0415441OtherCIGNA PA