Provider Demographics
NPI:1033260245
Name:ARMSTRONG ORTHOPEDIC ASSOCIATES LLC
Entity Type:Organization
Organization Name:ARMSTRONG ORTHOPEDIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HEPNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-545-2205
Mailing Address - Street 1:316 1ST AVE
Mailing Address - Street 2:SUITE 275
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-2264
Mailing Address - Country:US
Mailing Address - Phone:724-545-2205
Mailing Address - Fax:724-545-2600
Practice Address - Street 1:316 1ST AVE
Practice Address - Street 2:SUITE 275
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-2264
Practice Address - Country:US
Practice Address - Phone:724-545-2205
Practice Address - Fax:724-545-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009922L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001888222Medicaid
PA001628076OtherHIGHMARK BLUE SHIELD
PA060085Medicare ID - Type Unspecified
PA001888222Medicaid