1598734378 NPI number — BIOMECHANICAL ORTHOPEDIC ASSESSMENT AND REHABILITATION INC.

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 1598734378 NPI number — BIOMECHANICAL ORTHOPEDIC ASSESSMENT AND REHABILITATION INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIOMECHANICAL ORTHOPEDIC ASSESSMENT AND REHABILITATION INC.
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:
1598734378
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 MCKEAN AVE STE 108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLEROI
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15022-2141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-684-6000
Provider Business Mailing Address Fax Number:
724-684-6010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 MCKEAN AVE STE 108
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLEROI
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15022-2141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-684-6000
Provider Business Practice Location Address Fax Number:
724-684-6010
Provider Enumeration Date:
03/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TEMOSHENKA
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
ALLEN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-684-6000

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 410070 . This is a "UPMC HEALTH PLANS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 458166 . This is a "KEYSTONE HEALTH PLAN WEST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0095069001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: DD9410 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 154656 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5543429 . This is a "AETNA/US HEALTHCARE PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7291400 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 806883 . This is a "AETNA US HEALTHCARE HMO" identifier . This identifiers is of the category "OTHER".




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