Basic Information
Provider Information
NPI: 1871592196
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSKIN
FirstName: JAMES
MiddleName: EDGAR
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123592459
FaxNumber: 4123598233
Practice Location
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123592459
FaxNumber: 4123598233
Other Information
ProviderEnumerationDate: 07/19/2005
LastUpdateDate: 10/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XOS008115LPAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
0161349601NYNY MEDICAL ASSISTANCEOTHER
291260701PAAETNAOTHER
152415101PAGATEWAYOTHER
262308501OHOH MEDICAL ASSISTANCEOTHER
51960501PABLUE SHIELDOTHER
0002567990201NYUNIVERAOTHER
144588705PA MEDICAID
30010442901PARR MEDICAREOTHER
106887301WVWEST VIRGINIA WORK COMPOTHER
9740101PAUNISONOTHER
21965901PAUPMCOTHER


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