1336192285 NPI number — ANDREW J. ZAHALSKY, M.D.

Table of content: (NPI 1336192285)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336192285 NPI number — ANDREW J. ZAHALSKY, M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDREW J. ZAHALSKY, M.D.
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:
1336192285
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1640 WATTERSON CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15241-3149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-413-9813
Provider Business Mailing Address Fax Number:
724-348-8624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1640 WATTERSON CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15241-3149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-413-9813
Provider Business Practice Location Address Fax Number:
724-348-8624
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ZAHALSKY
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
ONCOLOGY/HEMATOLOGY
Authorized Official Telephone Number:
724-413-9813

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 130506 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001894041 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1390388 . This is a "BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1525897 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2937436 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 085188 . This is a "HEALTH AMERICA/HEALTH AS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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