Basic Information
| Provider Information | |||||||||
| NPI: | 1821080219 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOTTE | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | ANGELO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 BOWER HILL ROAD | ||||||||
| Address2: | ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152431873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129422548 | ||||||||
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| Practice Location | |||||||||
| Address1: | 27 HECKEL RD | ||||||||
| Address2: | SUITE 212 | ||||||||
| City: | MC KEES ROCKS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151361616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4127774319 | ||||||||
| FaxNumber: | 4127774390 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2005 | ||||||||
| LastUpdateDate: | 03/16/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD057247L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | G25810 | 01 | HEALTH AMERICA | OTHER | 252306 | 01 | UPMC HEALTH PLAN | OTHER | 110224603 | 01 | RAILROAD MEDICARE | OTHER | 585483 | 01 | AETNA | OTHER | P000968 | 01 | GATEWAY HEALTH PLAN | OTHER | 0015844600002 | 05 | PA | MEDICAID | 00000009914 | 01 | UNISON HEALTH PLAN | OTHER | 0969142000 | 01 | PA | INDEPENDENCE BLUE SHIELD | OTHER |