Provider Demographics
NPI:1669845467
Name:FIRETTO, ANTHONY MICHAEL (PA-C)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MICHAEL
Last Name:FIRETTO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-7400
Mailing Address - Fax:412-432-7480
Practice Address - Street 1:UPMC EAST - EMERGENCY DEPT
Practice Address - Street 2:2775 MOSSIDE BLVD
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-432-7400
Practice Address - Fax:412-432-7480
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA100032146N00000X
PAMA057992363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic