Provider Demographics
NPI:1003258997
Name:PHYSICIAN LANDING ZONE, P. C.
Entity Type:Organization
Organization Name:PHYSICIAN LANDING ZONE, P. C.
Other - Org Name:NEGRINI MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDFARB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-578-7080
Mailing Address - Street 1:120 5TH AVE
Mailing Address - Street 2:MAIL DROP 2516
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3000
Mailing Address - Country:US
Mailing Address - Phone:412-544-1000
Mailing Address - Fax:
Practice Address - Street 1:9500 BROOKTREE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9227
Practice Address - Country:US
Practice Address - Phone:724-933-1445
Practice Address - Fax:724-933-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056332L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA207R00000XOtherTAXONOMY
PAMD056332LOtherLICENSE
PA0016073210004Medicaid
PA207R00000XOtherTAXONOMY
PAMD056332LOtherLICENSE