Provider Demographics
NPI:1417983941
Name:MON VALLEY ANESTHESIA ASSOCIATES PC
Entity Type:Organization
Organization Name:MON VALLEY ANESTHESIA ASSOCIATES PC
Other - Org Name:MONONGAHELA VALLEY ANESTHESIA ASSOCIATES PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THAD
Authorized Official - Middle Name:
Authorized Official - Last Name:OSOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-258-1066
Mailing Address - Street 1:103 APPLE CT
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3438
Mailing Address - Country:US
Mailing Address - Phone:724-258-1066
Mailing Address - Fax:724-258-1779
Practice Address - Street 1:1163 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1013
Practice Address - Country:US
Practice Address - Phone:724-258-1062
Practice Address - Fax:724-158-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA061129Medicare UPIN
PAB41988Medicare UPIN
PAB34090Medicare UPIN