Healthcare Provider Details

I. General information

NPI: 1114434883
Provider Name (Legal Business Name): REGIONAL ANESTHESIA EXPERTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 BOYCE RD
BRIDGEVILLE PA
15017-1225
US

IV. Provider business mailing address

PO BOX 645786
PITTSBURGH PA
15264-5255
US

V. Phone/Fax

Practice location:
  • Phone: 412-220-2336
  • Fax: 304-233-6073
Mailing address:
  • Phone: 877-746-7090
  • Fax: 412-937-5707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRYAN P MATUSIC
Title or Position: PRESIDENT
Credential: DO
Phone: 412-220-2336