Provider Demographics
NPI:1780685602
Name:SCHWEIKERT, DEANNA (PAC)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:SCHWEIKERT
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 WEST CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4657
Mailing Address - Country:US
Mailing Address - Phone:724-228-1414
Mailing Address - Fax:724-228-8579
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:STE 5113
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:866-321-1989
Practice Address - Fax:740-266-1201
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103506363AM0700X
PAMA053064363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0480730001OtherCIGNA GOVERMENT DMERC
NCP71830Medicare UPIN
PA123183.YGC9Medicare PIN
NC0480730001OtherCIGNA GOVERMENT DMERC
PA123183N79Medicare PIN