Provider Demographics
NPI:1033432968
Name:GREENBERG, SHARON W (MT PA-C, MPAS)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:W
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:MT PA-C, MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 PEACE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW WATERFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44445-9629
Mailing Address - Country:US
Mailing Address - Phone:330-457-2345
Mailing Address - Fax:
Practice Address - Street 1:1622 LOWRIE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4361
Practice Address - Country:US
Practice Address - Phone:412-231-2957
Practice Address - Fax:412-231-3046
Is Sole Proprietor?:No
Enumeration Date:2010-03-06
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.002827363A00000X
PAMA054600363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant