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NPI Code Detail

MEDICARE: JAMES W BACKSTROM MD

MEDICARE: JAMES W BACKSTROM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085P0229XPediatric Radiology Physician0101040755VA
22085R0202XDiagnostic Radiology Physician0101040755VA
32085R0202XDiagnostic Radiology PhysicianMD418526PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00663923OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41387766OTHERPAHIGHMARK BCBS
51387766OTHERHIGHMARK

General Provider Information

NPI Number : 1497721146
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES W BACKSTROM MD
Provider Business Mailing Address
First Line : 401 LIBERTY AVE STE 2000
Second Line :
City : PITTSBURGH
State : PA
Zip : 15222-1029
Country : US
Telephone Number : 412-230-8200
Fax Number : 412-202-8638
Provider Business Practice Location Address
First Line : 401 LIBERTY AVE STE 2000
Second Line : THREE GATEWAY CENTER, 20TH FLOOR
City : PITTSBURGH
State : PA
Zip : 15222-1029
Country : US
Telephone Number : 412-223-2272
Fax Number : 412-281-6320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 03/03/2025

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Directions to “ JAMES W BACKSTROM MD” Practice Location

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