Provider Demographics
NPI:1437122595
Name:PITTSBURGH BONE AND JOINT SURGEONS
Entity Type:Organization
Organization Name:PITTSBURGH BONE AND JOINT SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPPAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-678-0534
Mailing Address - Street 1:1321 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2403
Mailing Address - Country:US
Mailing Address - Phone:412-678-0534
Mailing Address - Fax:412-678-2838
Practice Address - Street 1:1321 5TH AVE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2403
Practice Address - Country:US
Practice Address - Phone:412-678-0534
Practice Address - Fax:412-678-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0584900001Medicare NSC
PA508429Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
PA01706357Medicaid