Healthcare Provider Details
I. General information
NPI: 1376615138
Provider Name (Legal Business Name): STEEL VALLEY ORTHOPAEDICS & SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2006
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 BROOKS LN SUITE 240
CLAIRTON PA
15025-3750
US
IV. Provider business mailing address
1200 BROOKS LN SUITE 240
JEFFERSON HILLS PA
15025-3747
US
V. Phone/Fax
- Phone: 412-469-1660
- Fax: 412-469-8972
- Phone: 412-469-1660
- Fax: 412-469-8972
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: MRS.
HEATHER
J.
LLOYD
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 412-469-1660