Healthcare Provider Details

I. General information

NPI: 1386639847
Provider Name (Legal Business Name): WESTERN PENNSYLVANIA ANESTHESIA ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 REEDSDALE ST STE 4004
PITTSBURGH PA
15233-2341
US

IV. Provider business mailing address

1501 REEDSDALE ST STE 4004
PITTSBURGH PA
15233-2341
US

V. Phone/Fax

Practice location:
  • Phone: 412-363-5570
  • Fax: 412-353-5575
Mailing address:
  • Phone: 412-363-5570
  • Fax: 412-353-5575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: PENNY ALDER
Title or Position: PROJECT COORDINATOR
Credential:
Phone: 412-204-0048