1861505257 NPI number — CENTRAL CARDIOVASCULAR ASSOCIATES, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861505257 NPI number — CENTRAL CARDIOVASCULAR ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRAL CARDIOVASCULAR ASSOCIATES, P.C.
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:
SOUTHWESTERN PENNSYLVANIA CARDIOVASCULAR ASSOCIATES
Provider Other Organization Name Type Code:
3
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:
1861505257
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:
1350 LOCUST ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15219-4738
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-562-3292
Provider Business Mailing Address Fax Number:
412-281-2610

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
216 W JEFFERSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-5731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-283-5050
Provider Business Practice Location Address Fax Number:
724-283-3444
Provider Enumeration Date:
08/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PINTO
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-562-3292

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207RC0001X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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





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