Healthcare Provider Details

I. General information

NPI: 1053132712
Provider Name (Legal Business Name): PCMA PULMONOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CLIFFMINE RD STE 500
PITTSBURGH PA
15275-1053
US

IV. Provider business mailing address

2000 CLIFFMINE RD STE 500
PITTSBURGH PA
15275-1053
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID THIMONS
Title or Position: OWNER
Credential:
Phone: 878-201-3312