Provider Demographics
NPI:1306817234
Name:PIERCE, ALICE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:M
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 HOLIDAY DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220
Mailing Address - Country:US
Mailing Address - Phone:412-444-0098
Mailing Address - Fax:412-444-0112
Practice Address - Street 1:4815 LIBERTY AVE, SUITE 204
Practice Address - Street 2:MELLON PAVILION
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-444-0098
Practice Address - Fax:412-444-0112
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045290L174400000X
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017405820001Medicaid
PA1505595OtherGATEWAY HEALTH PLAN
PA202655OtherINTERGROUP
PA2356583OtherUS HEALTHCARE
PA369531OtherHIGHMARK/KEYSTONE
PAG74906OtherHEALTH AMERICA/ASSURANCE
PA17405820001Medicaid
PA20039845OtherUNITED HEALTHCARE
PA202655OtherUPMC HEALTH PLANS
PA96556OtherTHREE RIVERS HEALTH PLAN
PA202655OtherBEST HEALTH
PA1505595OtherGATEWAY HEALTH PLAN
PA202655OtherBEST HEALTH