Provider Demographics
NPI:1821211236
Name:F SANTAMARIA SURGICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:F SANTAMARIA SURGICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANTAMARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-547-6707
Mailing Address - Street 1:100 JOHANNA ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-2159
Mailing Address - Country:US
Mailing Address - Phone:724-547-6707
Mailing Address - Fax:724-547-4233
Practice Address - Street 1:100 JOHANNA ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-2159
Practice Address - Country:US
Practice Address - Phone:724-547-6707
Practice Address - Fax:724-547-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028875L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01578874Medicaid
PA01578874Medicaid
840249Medicare ID - Type Unspecified