Healthcare Provider Details
I. General information
NPI: 1396000899
Provider Name (Legal Business Name): ORTHOPEDIC GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2012
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 PLAZA DR STE 280
BELLE VERNON PA
15012-4037
US
IV. Provider business mailing address
800 PLAZA DR STE 240
BELLE VERNON PA
15012-4033
US
V. Phone/Fax
- Phone: 724-379-5802
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARI
PRESSMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 724-379-5860