Provider Demographics
NPI:1275727877
Name:MIDTOWN CARDIOVASCULAR ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MIDTOWN CARDIOVASCULAR ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-937-8887
Mailing Address - Street 1:1501 LOCUST ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5136
Mailing Address - Country:US
Mailing Address - Phone:412-281-0769
Mailing Address - Fax:412-281-8649
Practice Address - Street 1:1501 LOCUST ST
Practice Address - Street 2:SUITE 501
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5136
Practice Address - Country:US
Practice Address - Phone:412-281-0769
Practice Address - Fax:412-281-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA222607OtherUNISON
PA9571094OtherAETNA PPO
PA1689297OtherAETNA HMO
PA1562695OtherGATEWAY HEALTH PLANS
PADG6305OtherRR MEDICARE
PA1020411400001Medicaid
PA1983099OtherKEYSTONE WEST
PA1983099OtherHIGHMARK BCBS PA
PA1020411400001Medicaid