NPI Code Details Logo

NPI 1629067186

NPI 1629067186 : JUAN C CELEDON M.D., DR.P.H. : PITTSBURGH, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629067186
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JUAN C CELEDON M.D., DR.P.H.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/18/2005
-----------------------------------------------------
    Last Update Date     |    03/29/2013
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1 CHILDRENS HOSPITAL DR 4401 PENN AVENUE
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15224-1529
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-692-5661
-----------------------------------------------------
    Fax                  |    412-692-6645
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1 CHILDRENS HOSPITAL DR 4401 PENN AVENUE
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15224-1529
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-692-5661
-----------------------------------------------------
    Fax                  |    412-692-6645
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    153557
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2080P0214X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Pulmonology Physician
-----------------------------------------------------
    License Number       |    MD439985
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    MD439985
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    MD439985
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    MD439985
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.