Provider Demographics
NPI:1912099193
Name:PEDIATRICS OF WESTMORELAND, LTD
Entity Type:Organization
Organization Name:PEDIATRICS OF WESTMORELAND, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THAER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMALOUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-832-7045
Mailing Address - Street 1:530 SOUTH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2775
Mailing Address - Country:US
Mailing Address - Phone:724-832-7045
Mailing Address - Fax:724-832-9165
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-832-7045
Practice Address - Fax:724-832-9165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015013990001Medicaid