Healthcare Provider Details

I. General information

NPI: 1851375687
Provider Name (Legal Business Name): ASSOCIATES IN GASTROENTEROLOGY OF PGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 CENTRE AVE SUITE 409
PITTSBURGH PA
15232-1300
US

IV. Provider business mailing address

5200 CENTRE AVE SUITE 409
PITTSBURGH PA
15232-1300
US

V. Phone/Fax

Practice location:
  • Phone: 412-621-2334
  • Fax: 412-621-2176
Mailing address:
  • Phone: 412-621-2334
  • Fax: 412-621-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number207RG0100X
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number207R00000X
License Number StatePA

VIII. Authorized Official

Name: MRS. ANN PASCAL
Title or Position: ADMINISTRATOR
Credential:
Phone: 412-621-1832