Basic Information
| Provider Information | |||||||||
| NPI: | 1538234976 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH HILLS PASSAVANT CARDIOLOGY ASSOCIATES PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 96158 | ||||||||
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| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129833911 | ||||||||
| FaxNumber: | 4122070769 | ||||||||
| Practice Location | |||||||||
| Address1: | 9100 BABCOCK BLVD | ||||||||
| Address2: | UPMC PASSAVANT HOSPITAL | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7242283400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 09/17/2013 | ||||||||
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| AuthorizedOfficialLastName: | HUBER | ||||||||
| AuthorizedOfficialFirstName: | KENNETH | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7249356633 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.