Basic Information
Provider Information | |||||||||
NPI: | 1528090867 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | GIGER | ||||||||
FirstName: | DARCY | ||||||||
MiddleName: | BILLISITS | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | DO | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 990 HIGBEE DRIVE | ||||||||
Address2: | SUITE B102 | ||||||||
City: | BETHEL PARK | ||||||||
State: | PA | ||||||||
PostalCode: | 15102 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4128358090 | ||||||||
FaxNumber: | 4128358044 | ||||||||
Practice Location | |||||||||
Address1: | 565 COAL VALLEY RD | ||||||||
Address2: |   | ||||||||
City: | JEFFERSON HILLS | ||||||||
State: | PA | ||||||||
PostalCode: | 150253703 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4122676810 | ||||||||
FaxNumber: | 4122676817 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/07/2006 | ||||||||
LastUpdateDate: | 10/06/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 10/06/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS008432L | PA | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
No ID Information.