Provider Demographics
NPI:1578567954
Name:E. RONALD SALVITTI, M.D., INC.
Entity Type:Organization
Organization Name:E. RONALD SALVITTI, M.D., INC.
Other - Org Name:SOUTHWESTERN PA EYE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:E
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:SALVITTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-228-2982
Mailing Address - Street 1:750 E BEAU ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6661
Mailing Address - Country:US
Mailing Address - Phone:724-228-2982
Mailing Address - Fax:724-228-8117
Practice Address - Street 1:750 E BEAU ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6661
Practice Address - Country:US
Practice Address - Phone:724-228-2982
Practice Address - Fax:724-228-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA79921500261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007305570011Medicaid
PA490004958OtherRAILROAD MEDICARE
PA1007305570011Medicaid