Healthcare Provider Details

I. General information

NPI: 1417800228
Provider Name (Legal Business Name): CARLY SUSAN SWARTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

IV. Provider business mailing address

131 BROADLAWN DR
ELIZABETH PA
15037-2044
US

V. Phone/Fax

Practice location:
  • Phone: 412-942-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: