Provider Demographics
NPI:1093701484
Name:PITTSBURGH ANESTHESIA ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:PITTSBURGH ANESTHESIA ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIDANICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-831-9218
Mailing Address - Street 1:1699 WASHINGTON RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1629
Mailing Address - Country:US
Mailing Address - Phone:412-851-1820
Mailing Address - Fax:412-851-1822
Practice Address - Street 1:1699 WASHINGTON RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1629
Practice Address - Country:US
Practice Address - Phone:412-851-1820
Practice Address - Fax:412-851-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty