Healthcare Provider Details

I. General information

NPI: 1801437108
Provider Name (Legal Business Name): CHAD T TOTH CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 W PITTSBURGH ST
GREENSBURG PA
15601-2239
US

IV. Provider business mailing address

134 INDUSTRIAL PARK RD STE 1500
GREENSBURG PA
15601-8153
US

V. Phone/Fax

Practice location:
  • Phone: 724-454-4480
  • Fax:
Mailing address:
  • Phone: 724-689-1822
  • Fax: 724-522-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberSP020927
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: