Healthcare Provider Details
I. General information
NPI: 1306437082
Provider Name (Legal Business Name): PCMA CARDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2021
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 CLIFFMINE RD STE 500
PITTSBURGH PA
15275-1053
US
IV. Provider business mailing address
2000 CLIFFMINE RD STE 500
PITTSBURGH PA
15275-1053
US
V. Phone/Fax
- Phone: 878-201-3312
- Fax: 724-302-0447
- Phone: 878-201-3312
- Fax: 724-302-0447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
THIMONS
Title or Position: OWNER
Credential: DO
Phone: 878-201-3312