Provider Demographics
NPI:1730127135
Name:ACCENT ON BODY COSMETIC SURGERY PC
Entity Type:Organization
Organization Name:ACCENT ON BODY COSMETIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-262-3700
Mailing Address - Street 1:PO BOX 200300
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-0300
Mailing Address - Country:US
Mailing Address - Phone:412-466-0391
Mailing Address - Fax:
Practice Address - Street 1:1000 CLIFFMINE RD
Practice Address - Street 2:PARK WEST ONE SUITE 120
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1022
Practice Address - Country:US
Practice Address - Phone:412-466-0391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040888E208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F67445Medicare UPIN
PA066134Medicare PIN