Provider Demographics
NPI:1508820390
Name:BPW MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:BPW MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WROBLESKI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:412-965-4215
Mailing Address - Street 1:265 SCOTT HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:SUTERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15083-1349
Mailing Address - Country:US
Mailing Address - Phone:412-965-4215
Mailing Address - Fax:412-469-6982
Practice Address - Street 1:500 N LEWIS RUN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122-3056
Practice Address - Country:US
Practice Address - Phone:412-469-6952
Practice Address - Fax:412-469-6982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017345580002Medicaid
PA025446Medicare ID - Type UnspecifiedPROVIDER NUMBER