1376773085 NPI number — PITTSBURGH BONE & JOINT SURGEONS

Table of content: (NPI 1376773085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376773085 NPI number — PITTSBURGH BONE & JOINT SURGEONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PITTSBURGH BONE & JOINT SURGEONS
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:
1376773085
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1321 FIFTH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKEESPORT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15132-2403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-678-0534
Provider Business Mailing Address Fax Number:
412-678-9495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 BROOKS LN
Provider Second Line Business Practice Location Address:
STE G20
Provider Business Practice Location Address City Name:
JEFFERSON HILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15025-3747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-267-5040
Provider Business Practice Location Address Fax Number:
412-384-3505
Provider Enumeration Date:
07/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HARTMANN
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
412-267-5040

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , 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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