1164431714 NPI number — DR. HORACIO S AURE M.D.

Table of content: DR. HORACIO S AURE M.D. (NPI 1164431714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164431714 NPI number — DR. HORACIO S AURE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AURE
Provider First Name:
HORACIO
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1164431714
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21 YOST BLVD
Provider Second Line Business Mailing Address:
FOREST HILLS PLAZA- SUITE 216
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15221-5283
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-831-3113
Provider Business Mailing Address Fax Number:
412-823-6361

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1433 FAWCETT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-1507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-672-9782
Provider Business Practice Location Address Fax Number:
412-672-3754
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD037216L , 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: 4084708 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: DC1768 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 64090 . This is a "UNISON-PCP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 75980 . This is a "UNISON-SPECIALIST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1629728 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100881 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0009013010001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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