Healthcare Provider Details

I. General information

NPI: 1851381503
Provider Name (Legal Business Name): HEALTH CARE PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HARTMAN RD STE A
GREENSBURG PA
15601-6463
US

IV. Provider business mailing address

125 HARTMAN RD STE A
GREENSBURG PA
15601-6463
US

V. Phone/Fax

Practice location:
  • Phone: 724-836-6338
  • Fax: 724-836-6337
Mailing address:
  • Phone: 724-836-6338
  • Fax: 724-836-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD012012E
License Number StatePA

VIII. Authorized Official

Name: E DEREK PESKE
Title or Position: PRESIDENT
Credential: MD
Phone: 724-536-6338