Provider Demographics
NPI:1740404771
Name:GENERAL MEDICAL PRACTITIONERS AND SPECIALISTS P.C.
Entity Type:Organization
Organization Name:GENERAL MEDICAL PRACTITIONERS AND SPECIALISTS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPKOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-321-0255
Mailing Address - Street 1:1312 FEDERAL ST
Mailing Address - Street 2:PO BOX 6339
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4706
Mailing Address - Country:US
Mailing Address - Phone:412-321-0255
Mailing Address - Fax:412-321-3452
Practice Address - Street 1:1312 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4706
Practice Address - Country:US
Practice Address - Phone:412-321-0255
Practice Address - Fax:412-321-3452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015126E207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00061276OtherUNISON ADVANTAGE