Healthcare Provider Details

I. General information

NPI: 1255331278
Provider Name (Legal Business Name): DEAN ALAN HEALY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE 14TH FLOOR, SOUTH TOWER
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3714
  • Fax: 412-359-3878
Mailing address:
  • Phone: 412-359-6656
  • Fax: 412-359-6653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD044363E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD044363E
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberPT15702
License Number StateND
# 4
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD044363E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: