Active NPI
Roy Kazan, MD, PHD, FRCSC
- Plastic and Reconstructive Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1629798244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD478940
- Practice address
- 3380 Boulevard of the Allies Ste 158
Pittsburgh, PA 15213-3125 - Phone
- (412) 641-6308
- NPI assigned
- Sep 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD478940 | PA | Primary |
Addresses
Primary practice location
3380 Boulevard of the Allies Ste 158
Pittsburgh, PA 15213-3125
Mailing address
1909 Waterfront PL Apt 206
Pittsburgh, PA 15222-5707
Phone (413) 304-6516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD478940 | PA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1629798244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 WATERFRONT PL APT 206",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152225707",
"telephone_number": "413-304-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 BOULEVARD OF THE ALLIES STE 158",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133125",
"telephone_number": "412-641-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZAN",
"first_name": "ROY",
"name_prefix": "Dr.",
"credential": "MD, PHD, FRCSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD478940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.