MEDICARE: PITTSBURGH PULMONARY AND CRITICAL CARE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1003367848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PITTSBURGH PULMONARY AND CRITICAL CARE ASSOCIATES

Provider Business Mailing Address
First Line	:	1200 BROOKS LN STE 180
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-3769
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 BROOKS LN STE 180
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-3769
Country	:	US
Telephone Number	:	412-469-8920
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. WILLIAM SIMS
Credential	:	M.D.
Telephone Number	:	412-469-8920

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	04/12/2018

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