Provider Demographics
NPI:1720072861
Name:OPPY, JAMES MILLER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MILLER
Last Name:OPPY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N PITTSBURGH ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3231
Mailing Address - Country:US
Mailing Address - Phone:724-628-4450
Mailing Address - Fax:724-626-2580
Practice Address - Street 1:201 N PITTSBURGH ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3231
Practice Address - Country:US
Practice Address - Phone:724-628-4450
Practice Address - Fax:724-626-2580
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027830E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009348120004Medicaid
PAC34248Medicare UPIN
PA0009348120004Medicaid
PA445249Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #