Provider Demographics
NPI:1275519415
Name:AUSTIN, NATALIE D (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:D
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:D
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:107 GAMMA DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228
Mailing Address - Country:US
Mailing Address - Phone:412-963-6677
Mailing Address - Fax:412-963-6868
Practice Address - Street 1:107 GAMMA DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228
Practice Address - Country:US
Practice Address - Phone:412-963-6677
Practice Address - Fax:412-963-6868
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.003094363A00000X
PAMA002767-L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S89715Medicare UPIN
OHAUPA37201Medicare PIN
PA077538JEDMedicare PIN