Healthcare Provider Details

I. General information

NPI: 1083712210
Provider Name (Legal Business Name): GINA M ROOKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 FEDERAL ST STE 300
PITTSBURGH PA
15212-4769
US

IV. Provider business mailing address

1307 FEDERAL ST STE 300
PITTSBURGH PA
15212-4769
US

V. Phone/Fax

Practice location:
  • Phone: 412-281-1757
  • Fax: 412-281-7274
Mailing address:
  • Phone: 412-281-1757
  • Fax: 412-281-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberMD055584L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD055584L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: