MEDICARE: GREGORY FLINN HABIB D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	OS013015	PA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	OS013015	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669457982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY FLINN HABIB D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1116
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-1116
Country	:	US
Telephone Number	:	412-207-9780
Fax Number	:	412-207-9782

Provider Business Practice Location Address
First Line	:	345 MOUNT LEBANON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1504
Country	:	US
Telephone Number	:	412-207-9780
Fax Number	:	412-207-9782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	03/10/2016

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