1598734378 NPI number — BIOMECHANICAL ORTHOPEDIC ASSESSMENT AND REHABILITATION INC.

Table of content: (NPI 1598734378)

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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