Provider Demographics
NPI:1093759771
Name:GASTROENTEROLOGY ASSOCIATES OF PITTSBURGH PC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY ASSOCIATES OF PITTSBURGH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMMERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-318-0075
Mailing Address - Street 1:3285 BABCOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:412-318-0075
Mailing Address - Fax:412-318-0081
Practice Address - Street 1:3285 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-318-0075
Practice Address - Fax:412-318-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007478470004Medicaid
PA1368678OtherBLUE SHIELD
PA1522664OtherGATEWAY
PA2807978OtherAETNA
PA2807978OtherAETNA