Provider Demographics
NPI:1568522936
Name:REGIONAL CARDIOLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:REGIONAL CARDIOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-983-1800
Mailing Address - Street 1:2999 PRESIDENTIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3689
Mailing Address - Country:US
Mailing Address - Phone:724-983-1800
Mailing Address - Fax:724-983-0856
Practice Address - Street 1:2999 PRESIDENTIAL BLVD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3689
Practice Address - Country:US
Practice Address - Phone:724-983-1800
Practice Address - Fax:724-983-0856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA474076Medicare ID - Type Unspecified