Elisa Kate Bosilovic, PA-C
Individual provider Active NPI Physician Assistant · Clairton, PA
NPI 1740555283 · NPPES record last updated Mar 16, 2012
Key facts
- NPI
- 1740555283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA055427 (PA)
- Practice address
- 1200 Brooks LN
G-10
Clairton, PA 15025-3747 - Phone
- (412) 469-5914
- NPI assigned
- Mar 16, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA055427 | PA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA055427 | PA | Yes |
Addresses
Primary practice location
1200 Brooks LN
G-10
Clairton, PA 15025-3747
Mailing address
2189 Chardonnay Cir
Gibsonia, PA 15044-7469
Phone (412) 977-7365
Other providers in Clairton, PA
- James A. Betler
- Courtni R Bittner
- Lana P Bliner
- Dawn L Bocianoski
- Guillermo Borrero
- Ossama Onsi Boulos
- Kathleen A Bowler
- Brent Walker Bowman
- Jeffrey M Bright
- Amy Brown
All providers in Clairton, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.