Basic Information
Provider Information
NPI: 1851390710
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMANIOUS
FirstName: MARK
MiddleName: W.
NamePrefix: MR.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 490 E NORTH AVE
Address2: SUITE 302 ALLEG THORACIC & CARDIOVASCULAR ASSOCS
City: PITTSBURGH
State: PA
PostalCode: 152124740
CountryCode: US
TelephoneNumber: 4123598820
FaxNumber: 4123598222
Practice Location
Address1: 490 E NORTH AVE
Address2: SUITE 302 ALLEG THORACIC & CARDIOVASCULAR ASSOCS
City: PITTSBURGH
State: PA
PostalCode: 152124740
CountryCode: US
TelephoneNumber: 4123598820
FaxNumber: 4123598222
Other Information
ProviderEnumerationDate: 07/21/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400XMA000342LPAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


Home