1376668335 NPI number — DEANNA LOVE RUTMAN, M.D., P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376668335 NPI number — DEANNA LOVE RUTMAN, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEANNA LOVE RUTMAN, M.D., 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:
1376668335
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1910 COCHRAN RD
Provider Second Line Business Mailing Address:
MANOR OAK VILLAGE
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15220-1102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-561-6191
Provider Business Mailing Address Fax Number:
412-561-5736

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 VILLAGE
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15220-1102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-561-6191
Provider Business Practice Location Address Fax Number:
412-561-5736
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RUTMAN
Authorized Official First Name:
DEANNA
Authorized Official Middle Name:
LOVE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
412-561-6191

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD027133E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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