Provider Demographics
NPI:1821074501
Name:LERBERG, DAVID B (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:LERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE
Mailing Address - Street 2:SUITE 156
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-688-9810
Mailing Address - Fax:412-688-9818
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:SUITE 156
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-688-9810
Practice Address - Fax:412-688-9818
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013168E208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
2997358OtherCIGNA
B35030OtherHEALTH AMERICA ASSURANCE
1011386OtherGATEWAY
B35030OtherADVANTRA
PA13168OtherHEALTH PLAN UPPER OH VALL
59007OtherGEISINGER HEALTH PLAN
OH0360550OtherMEDICAL ASSISTANCE
074549OtherKEYSTONE HP WEST
684253OtherFOCUS HEALTHCARE MGMT
PA00068287808OtherMEDICAL ASSISTANCE
PA00068287808Medicaid
12335OtherCLEAR CARE CORPORATION
4085938OtherAETNA US HEALTH CARE
WV0128979000OtherMEDICAL ASSISTANCE
103486OtherFIRST HEALTH
3339309OtherAETNA US HEALTH CARE
3890OtherALPHA HEALTH NETWORK
B35030Medicare UPIN
B35030OtherADVANTRA