Provider Demographics
NPI:1821080219
Name:NOTTE, MICHAEL ANGELO (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANGELO
Last Name:NOTTE
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 1:1000 BOWER HILL ROAD
Mailing Address - Street 2:ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-942-2548
Mailing Address - Fax:
Practice Address - Street 1:27 HECKEL RD
Practice Address - Street 2:SUITE 212
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1616
Practice Address - Country:US
Practice Address - Phone:412-777-4319
Practice Address - Fax:412-777-4390
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057247L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G25810OtherHEALTH AMERICA
252306OtherUPMC HEALTH PLAN
110224603OtherRAILROAD MEDICARE
585483OtherAETNA
P000968OtherGATEWAY HEALTH PLAN
PA0015844600002Medicaid
00000009914OtherUNISON HEALTH PLAN
PA0969142000OtherINDEPENDENCE BLUE SHIELD
PAG25810Medicare UPIN
PA861803Medicare PIN