MEDICARE: SOUTH HILLS PULMONARY 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	:	1598757858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH HILLS PULMONARY ASSOCIATES

Provider Business Mailing Address
First Line	:	1050 BOWER HILL RD
Second Line	:	SUITE 306
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1800
Country	:	US
Telephone Number	:	412-572-6168
Fax Number	:	412-563-4517

Provider Business Practice Location Address
First Line	:	1050 BOWER HILL RD
Second Line	:	SUITE 306
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1800
Country	:	US
Telephone Number	:	412-572-6168
Fax Number	:	412-563-4517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES VAUGHN STRIMLAN
Credential	:	M.D.
Telephone Number	:	412-572-6168

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/09/2013

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