Provider Demographics
NPI:1740609650
Name:PLAYSO, ROXANNE
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:
Last Name:PLAYSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HOLIDAY DR
Mailing Address - Street 2:FOSTER PLAZA 4
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2749
Mailing Address - Country:US
Mailing Address - Phone:441-293-7859
Mailing Address - Fax:412-937-8599
Practice Address - Street 1:1590 WALTERS MILL RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15510-0004
Practice Address - Country:US
Practice Address - Phone:814-443-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056294363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical