Provider Demographics
NPI:1295422996
Name:INTEGRA HEALTH FAMILY MEDICINE
Entity type:Organization
Organization Name:INTEGRA HEALTH FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-607-6092
Mailing Address - Street 1:1125 LEISHMAN AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-5604
Mailing Address - Country:US
Mailing Address - Phone:412-737-2140
Mailing Address - Fax:
Practice Address - Street 1:1125 LEISHMAN AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-5604
Practice Address - Country:US
Practice Address - Phone:412-737-2140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty