Provider Demographics
NPI:1396012845
Name:PREMIER SURGERY CENTER OF PITTSBURGH, LLC
Entity Type:Organization
Organization Name:PREMIER SURGERY CENTER OF PITTSBURGH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:HEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-776-2111
Mailing Address - Street 1:14000 PERRY HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8442
Mailing Address - Country:US
Mailing Address - Phone:724-776-2111
Mailing Address - Fax:
Practice Address - Street 1:14000 PERRY HWY STE 100
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8442
Practice Address - Country:US
Practice Address - Phone:724-776-2111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical