Healthcare Provider Details

I. General information

NPI: 1275229106
Provider Name (Legal Business Name): EMILY PEARLE MEANS-BONADIO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY PEARLE MEANS

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 CROSSROADS RD STE 201
SCOTTDALE PA
15683-2458
US

IV. Provider business mailing address

109 CROSSROADS RD STE 201
SCOTTDALE PA
15683-2458
US

V. Phone/Fax

Practice location:
  • Phone: 724-887-5989
  • Fax: 724-887-0129
Mailing address:
  • Phone: 724-887-5989
  • Fax: 724-887-0129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS026159
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: