Provider Demographics
NPI:1518797604
Name:PITTSBURGH ORTHOPAEDIC SURGICAL SUITES, LLC
Entity type:Organization
Organization Name:PITTSBURGH ORTHOPAEDIC SURGICAL SUITES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-748-1200
Mailing Address - Street 1:150 N MEADOWS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8328
Mailing Address - Country:US
Mailing Address - Phone:412-748-1200
Mailing Address - Fax:412-748-1201
Practice Address - Street 1:150 N MEADOWS DR STE 120
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8328
Practice Address - Country:US
Practice Address - Phone:412-748-1200
Practice Address - Fax:412-748-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical