Basic Information
Provider Information
NPI: 1194789537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHRISTY
FirstName: PATRICK
MiddleName: THOMAS
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 BOWER HILL RD
Address2: ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
City: PITTSBURGH
State: PA
PostalCode: 152431873
CountryCode: US
TelephoneNumber: 4129422548
FaxNumber:  
Practice Location
Address1: 6000 STEUBENVILLE PIKE
Address2: SUITE 105
City: MC KEES ROCKS
State: PA
PostalCode: 151361353
CountryCode: US
TelephoneNumber: 4127881330
FaxNumber: 4127884290
Other Information
ProviderEnumerationDate: 04/13/2006
LastUpdateDate: 03/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD060662LPAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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