Provider Demographics
NPI:1518933647
Name:REASBECK, JEFFREY L (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:L
Last Name:REASBECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 SHENANGO ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-2060
Mailing Address - Country:US
Mailing Address - Phone:724-588-4240
Mailing Address - Fax:724-588-0198
Practice Address - Street 1:339 SIXTH AVENUE
Practice Address - Street 2:HEINZ 57 CENTER 57, FIFTH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222
Practice Address - Country:US
Practice Address - Phone:412-560-8762
Practice Address - Fax:412-560-8765
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032551E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010320630003Medicaid
PA0010320630001Medicaid
PA0010320630001Medicaid