Provider Demographics
NPI:1245289131
Name:EMERGENCY PHYSICIANS OF PITTSBURGH, LTD
Entity type:Organization
Organization Name:EMERGENCY PHYSICIANS OF PITTSBURGH, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-469-5959
Mailing Address - Street 1:PO BOX 13566
Mailing Address - Street 2:ATTN: GRACE WILSON
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-3566
Mailing Address - Country:US
Mailing Address - Phone:412-469-5959
Mailing Address - Fax:412-469-5600
Practice Address - Street 1:565 COAL VALLEY RD
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3703
Practice Address - Country:US
Practice Address - Phone:412-469-5959
Practice Address - Fax:412-469-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA767139Medicare ID - Type UnspecifiedGROUP NUMBER