Provider Demographics
NPI:1740264472
Name:GREATER PITTSBURGH SURGICAL ALLIANCE PC
Entity type:Organization
Organization Name:GREATER PITTSBURGH SURGICAL ALLIANCE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-749-1288
Mailing Address - Street 1:701 BROAD ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1652
Mailing Address - Country:US
Mailing Address - Phone:412-749-1288
Mailing Address - Fax:412-749-9729
Practice Address - Street 1:701 BROAD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1652
Practice Address - Country:US
Practice Address - Phone:412-749-1288
Practice Address - Fax:412-749-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015040400001Medicaid
PA1015040400001Medicaid