Provider Demographics
NPI:1740276948
Name:EMERGENCY MEDICINE ASSOCIATION OF PITTSBURGH
Entity type:Organization
Organization Name:EMERGENCY MEDICINE ASSOCIATION OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-232-8222
Mailing Address - Street 1:1501 LOCUST ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5136
Mailing Address - Country:US
Mailing Address - Phone:412-232-5770
Mailing Address - Fax:412-232-5768
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-232-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5297506OtherAETNA PPO
PA4353OtherUPMC
PA00000062881OtherUNISON
PA567777OtherHIGHMARK
PA0016091200032Medicaid
PA0497449OtherAETNA HMO
PACK0457OtherRR MCR
OH2565273OtherOHIO MEDICAID
PA1001336OtherGATEWAY
PA00000062881OtherUNISON