1093741480 NPI number — ARTHUR M SANTOS, MD,PC

Table of content: (NPI 1093741480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093741480 NPI number — ARTHUR M SANTOS, MD,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHUR M SANTOS, MD,PC
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:
1093741480
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:
1200 MCKEAN AVE
Provider Second Line Business Mailing Address:
SUITE 102
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:
724-483-6600
Provider Business Mailing Address Fax Number:
724-483-8900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 MCKEAN AVE
Provider Second Line Business Practice Location Address:
SUITE 102
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:
724-483-6600
Provider Business Practice Location Address Fax Number:
724-483-8900
Provider Enumeration Date:
06/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SANTOS
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
MAGNO
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
724-483-6600

Provider Taxonomy Codes

  • Taxonomy code: 208G00000X , with the licence number:  MD035561L , 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)

  • Identifier: SA048861 . This is a "PA BC/BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 204018 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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