NPIMap

Organization Active NPI

Greater Pittsburgh Surgical Alliance PC

  • Surgery Physician
  • Sewickley, PA
National Provider Identifier
1740264472
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GREATER PITTSBURGH SURGICAL ALLIANCE PC
Practice address
701 Broad St
4TH Floor
Sewickley, PA 15143-1652
Phone
(412) 749-1288
Fax
(412) 749-9729
NPI assigned
Dec 6, 2005
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul E Collier, MDNPI 1487686739
Title
Managing Partner
Phone
(412) 749-1288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

701 Broad St
4TH Floor
Sewickley, PA 15143-1652

Mailing address

701 Broad St
4TH Floor
Sewickley, PA 15143-1652
Phone (412) 749-1288

Other identifiers 1

IdentifierTypeStateIssuer
1015040400001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000400 PA Part B Supplier - Clinic/Group Practice 6608899364 Receives reassigned benefits from 2 practitioners
Practice locations: Sewickley, PA; Beaver, PA

National Provider Directory

National Provider Directory

Locations

1000 Cliffmine Rd
Ste 110
Pittsburgh, PA 15275
Phone (412) 722-0102

701 Broad St
Ste 432
Sewickley, PA 15143
Phone (412) 749-9868

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1740264472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-749-1288",
            "fax_number": "412-749-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-749-1288",
            "fax_number": "412-749-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PITTSBURGH SURGICAL ALLIANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "412-749-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015040400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.