Provider Demographics
NPI:1477556660
Name:TRANOVICH, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:TRANOVICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE G-20
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-267-5040
Mailing Address - Fax:412-384-3505
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE G-20
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-267-5040
Practice Address - Fax:412-384-3505
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD16939E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01706357Medicaid
PA00718489Medicaid
PAB35077Medicare UPIN
PA01706357Medicaid
PA200031592Medicare ID - Type UnspecifiedRAILROAD
PATR076250Medicare ID - Type UnspecifiedINDIVIDUAL
PA0584900004Medicare NSC
PA0584900002Medicare NSC
PAPI508429Medicare ID - Type UnspecifiedGROUP
PA0584900003Medicare NSC