Healthcare Provider Details
I. General information
NPI: 1457587479
Provider Name (Legal Business Name): CASEY BELSKI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2009
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2570 HAYMAKER RD
MONROEVILLE PA
15146-3513
US
IV. Provider business mailing address
532 W PITTSBURGH ST
GREENSBURG PA
15601-2239
US
V. Phone/Fax
- Phone: 412-858-7618
- Fax:
- Phone: 724-554-1473
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OS016630 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | OS016630 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: