Provider Demographics
NPI:1932577467
Name:CARMICHEL, MARIA (PA-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CARMICHEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 LEBANON CHURCH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2452
Mailing Address - Country:US
Mailing Address - Phone:412-653-8100
Mailing Address - Fax:412-653-8120
Practice Address - Street 1:1907 LEBANON CHURCH RD STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122-2452
Practice Address - Country:US
Practice Address - Phone:412-653-8100
Practice Address - Fax:412-653-8120
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057757363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical