Provider Demographics
NPI:1770103723
Name:STEEL CITY SPINE AND ORTHOPEDIC CENTER LLC
Entity type:Organization
Organization Name:STEEL CITY SPINE AND ORTHOPEDIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MONKO
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:215-510-3723
Mailing Address - Street 1:470 JOHNSON RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8944
Mailing Address - Country:US
Mailing Address - Phone:122-066-7704
Mailing Address - Fax:724-941-5027
Practice Address - Street 1:27 HECKEL RD STE 203
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1673
Practice Address - Country:US
Practice Address - Phone:412-206-6770
Practice Address - Fax:724-941-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS017370OtherSTATE LICENSE