Provider Demographics
NPI:1598780181
Name:ALL COUNTY CARDIOLOGY, P.C.
Entity Type:Organization
Organization Name:ALL COUNTY CARDIOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:ELLIS
Authorized Official - Last Name:OLIVENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-547-3858
Mailing Address - Street 1:220 BESSEMER RD
Mailing Address - Street 2:EXECUTIVE BUILDING SUITE 201
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-9122
Mailing Address - Country:US
Mailing Address - Phone:724-547-3858
Mailing Address - Fax:724-547-0737
Practice Address - Street 1:220 BESSEMER RD
Practice Address - Street 2:EXECUTIVE BUILDING SUITE 201
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-9122
Practice Address - Country:US
Practice Address - Phone:724-547-3858
Practice Address - Fax:724-547-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
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
PA790777Medicaid
PA790777Medicaid
PAQ41731Medicare UPIN
PA790777Medicare ID - Type UnspecifiedGROUP
PAH40828Medicare UPIN