Healthcare Provider Details
I. General information
NPI: 1538518733
Provider Name (Legal Business Name): ALYSSA ROVNAK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/08/2016
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
651 HOLIDAY DR STE 100
PITTSBURGH PA
15220-2740
US
IV. Provider business mailing address
4 ALLEGHENY CTR FL 7
PITTSBURGH PA
15212-5227
US
V. Phone/Fax
- Phone: 412-922-8490
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OT017021 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OS019018 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: