Provider Demographics
NPI:1396799045
Name:ROMITI, STEVEN L (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:ROMITI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4044 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7808
Mailing Address - Country:US
Mailing Address - Phone:724-527-6651
Mailing Address - Fax:724-527-0957
Practice Address - Street 1:4044 ROUTE 130
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7808
Practice Address - Country:US
Practice Address - Phone:724-527-6651
Practice Address - Fax:724-527-0957
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426606207PE0004X
PAMD4266-6207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101344250Medicaid
PA094168Medicare PIN
PA101344250Medicaid