Provider Demographics
NPI:1730299173
Name:RAVASIO, DONALD ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ANTHONY
Last Name:RAVASIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9762
Mailing Address - Country:US
Mailing Address - Phone:724-873-5955
Mailing Address - Fax:724-873-5907
Practice Address - Street 1:95 LEONARD AVENUE
Practice Address - Street 2:BUILDING 1, SUITE 202
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3368
Practice Address - Country:US
Practice Address - Phone:724-206-0610
Practice Address - Fax:724-503-4156
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010321L207X00000X, 207X00000X
MT11004207X00000X
AR11004207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
11767772OtherCAQH
PA101942846Medicaid
PA1954881OtherHIGHMARK
PA5075653OtherCIGNA
PA113486Medicare PIN