Healthcare Provider Details

I. General information

NPI: 1013821909
Provider Name (Legal Business Name): GAVIN ONEILL PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 READSHAW WAY
PITTSBURGH PA
15236-2769
US

IV. Provider business mailing address

742 ESTHER ST
PITTSBURGH PA
15227-1702
US

V. Phone/Fax

Practice location:
  • Phone: 412-886-0666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number1034064
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: