Provider Demographics
NPI:1851348676
Name:ALLEGHENY NEUROSURGERY & SPINE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:ALLEGHENY NEUROSURGERY & SPINE ASSOCIATES, P.C.
Other - Org Name:ANSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-321-3033
Mailing Address - Street 1:490 E NORTH AVE
Mailing Address - Street 2:SUITE G100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4740
Mailing Address - Country:US
Mailing Address - Phone:412-321-3033
Mailing Address - Fax:412-359-3085
Practice Address - Street 1:420 E NORTH AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4746
Practice Address - Country:US
Practice Address - Phone:412-321-3033
Practice Address - Fax:412-359-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1502120OtherGATEWAY
PA191137OtherHIGHMARK
PA77396OtherUNISON
PA951012OtherAETNA
PA951012OtherAETNA