Provider Demographics
NPI:1578516415
Name:SOUTHWESTERN PA PULMONARY AND SLEEP MEDICINE, LTD.
Entity Type:Organization
Organization Name:SOUTHWESTERN PA PULMONARY AND SLEEP MEDICINE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-222-2577
Mailing Address - Street 1:100 MCCONNELLS MILL LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1080
Mailing Address - Country:US
Mailing Address - Phone:412-889-3085
Mailing Address - Fax:412-341-2496
Practice Address - Street 1:100 MCCONNELLS MILL LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1080
Practice Address - Country:US
Practice Address - Phone:412-889-3085
Practice Address - Fax:412-341-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1449426OtherHIGHMARK
PA0019401440003Medicaid
PA067268Medicare PIN