MEDICARE: CAREY THOMAS VINSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD031416E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518952993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAREY THOMAS VINSON M.D.

Provider Business Mailing Address
First Line	:	615 BERKSHIRE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1514
Country	:	US
Telephone Number	:	412-781-2516
Fax Number	:	412-544-6792

Provider Business Practice Location Address
First Line	:	5215 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1303
Country	:	US
Telephone Number	:	412-623-2287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	03/08/2016

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