Provider Demographics
NPI:1528024346
Name:STEVEN A. CONNER, D.P.M., P.C.
Entity Type:Organization
Organization Name:STEVEN A. CONNER, D.P.M., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOLTGRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-367-8404
Mailing Address - Street 1:9102 BABCOCK BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5819
Mailing Address - Country:US
Mailing Address - Phone:412-367-8404
Mailing Address - Fax:412-367-5144
Practice Address - Street 1:9102 BABCOCK BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5819
Practice Address - Country:US
Practice Address - Phone:412-367-8404
Practice Address - Fax:412-367-5144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002059L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0381950001Medicare NSC
163282Medicare PIN