Provider Demographics
NPI:1265676647
Name:ALTOONA HAND AND WRIST SURGERY, LLC
Entity Type:Organization
Organization Name:ALTOONA HAND AND WRIST SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:GURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-935-0615
Mailing Address - Street 1:14 BRUSHMEADE
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2720
Mailing Address - Country:US
Mailing Address - Phone:814-935-0615
Mailing Address - Fax:
Practice Address - Street 1:1701 12TH AVE
Practice Address - Street 2:SUITE C2
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-3100
Practice Address - Country:US
Practice Address - Phone:814-942-7324
Practice Address - Fax:814-942-7327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035783E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
29958OtherGEISINGER
203307OtherUPMC
842729OtherAETNA
1560035OtherUNITED HEALTHCARE
200005775OtherRAILROAD MEDICARE
PAGU135319OtherMEDICARE
1015435OtherGATEWAY
PAGU135319OtherHIGHMARK
0010425150003OtherMEDICAL ASSISTANCE
5751466OtherCIGNA