Healthcare Provider Details
I. General information
NPI: 1316389513
Provider Name (Legal Business Name): ALEXIS ENGLE PILATO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/29/2013
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1030 BEANER HOLLOW RD
BEAVER PA
15009-9723
US
IV. Provider business mailing address
3600 FORBES AVE STE 140
PITTSBURGH PA
15213-3410
US
V. Phone/Fax
- Phone: 724-775-4242
- Fax: 724-775-4960
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | MD468441 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | LL36834S |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: