Healthcare Provider Details

I. General information

NPI: 1629585054
Provider Name (Legal Business Name): PCMA PALLIATIVE DIVISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CLIFFMINE RD STE 500
PITTSBURGH PA
15275-1053
US

IV. Provider business mailing address

8526 SOUTH AVE
POLAND OH
44514-3620
US

V. Phone/Fax

Practice location:
  • Phone: 878-201-3312
  • Fax: 878-201-3584
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID THIMONS
Title or Position: DO
Credential: DO
Phone: 724-766-0025