Provider Demographics
NPI:1629585054
Name:PCMA PALLIATIVE DIVISION LLC
Entity Type:Organization
Organization Name:PCMA PALLIATIVE DIVISION LLC
Other - Org Name:PCMA MEDICAL GROUP LLC SOLE MBR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:THIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-766-0025
Mailing Address - Street 1:8526 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 CLIFFMINE RD STE 500
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1053
Practice Address - Country:US
Practice Address - Phone:878-201-3312
Practice Address - Fax:878-201-3584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00000000Other00000000