Provider Demographics
NPI:1629007265
Name:WESTERN PENNSYLVANIA HAND CENTER
Entity Type:Organization
Organization Name:WESTERN PENNSYLVANIA HAND CENTER
Other - Org Name:HAND & SHOULDER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGUORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-933-3850
Mailing Address - Street 1:6001 STONEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7380
Mailing Address - Country:US
Mailing Address - Phone:724-933-3850
Mailing Address - Fax:724-933-3880
Practice Address - Street 1:6001 STONEWOOD DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7380
Practice Address - Country:US
Practice Address - Phone:724-933-3850
Practice Address - Fax:724-933-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1037976850001Medicaid
PA838164OtherHIGHMARK