1316947575 NPI number — WEINSTEIN IMAGING ASSOCIATES, P. C.

Table of content: (NPI 1316947575)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316947575 NPI number — WEINSTEIN IMAGING ASSOCIATES, P. C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEINSTEIN IMAGING ASSOCIATES, P. C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316947575
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5850 CENTRE AVE
Provider Second Line Business Mailing Address:
1ST FLOOR
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15206-3780
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-441-1161
Provider Business Mailing Address Fax Number:
412-441-9880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1910 COCHRAN RD
Provider Second Line Business Practice Location Address:
MANOR OAK TWO, SUITE 740
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15220-1203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-440-6999
Provider Business Practice Location Address Fax Number:
412-440-6998
Provider Enumeration Date:
07/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BRADLEY
Authorized Official First Name:
MARY LOU
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
412-441-1161

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 192103 . This is a "HIGHMARK PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 80674 . This is a "AETNA PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 16553 . This is a "HEALTH AMERICA PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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