MEDICARE: PROGRESSIVE MEDICAL SPECIALISTS, INC

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	261QM2800X	Methadone Clinic	637025	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	329976	OTHER		VALUE OPTIONS

General Provider Information

NPI Number	:	1437215431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE MEDICAL SPECIALISTS, INC

Provider Business Mailing Address
First Line	:	2453 W PIKE RD
Second Line	:
City	:	HOUSTON
State	:	PA
Zip	:	15342
Country	:	US
Telephone Number	:	724-873-5655
Fax Number	:	724-873-5656

Provider Business Practice Location Address
First Line	:	2453 W PIKE RD
Second Line	:
City	:	HOUSTON
State	:	PA
Zip	:	15342
Country	:	US
Telephone Number	:	724-873-5655
Fax Number	:	724-873-5656

Authorized Official
Title or Position	:	PROJECT DIRECTOR
Name	:	MS. ANNAMARIE ROBERTO
Credential	:
Telephone Number	:	724-873-5655

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	07/22/2025

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