Provider Demographics
NPI:1164489936
Name:ARTHUR T ANDROKITES MD PC
Entity Type:Organization
Organization Name:ARTHUR T ANDROKITES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:T
Authorized Official - Last Name:ANDROKITES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-832-9611
Mailing Address - Street 1:540 SOUTH ST SUITE 204
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-832-9611
Mailing Address - Fax:724-832-9623
Practice Address - Street 1:540 SOUTH ST SUITE 204
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-832-9611
Practice Address - Fax:724-832-9623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA091204OtherHIGHMARK
PA0011958550001Medicaid
PA065749Medicare ID - Type Unspecified
PACK6873Medicare PIN