Organization Active NPI

Pittsburgh Surgical Association

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1760453690
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD015680E Issued in PA
Legal business name
PITTSBURGH SURGICAL ASSOCIATION
Practice address
5750 Centre Avenue
Suite 430
Pittsburgh, PA 15206
Phone
(412) 363-8811
Fax
(412) 363-8701
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Richard Peter Lewis, MD
Title
Owner
Phone
(412) 363-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD015680E PA Primary

Addresses

Primary practice location

5750 Centre Avenue
Suite 430
Pittsburgh, PA 15206

Mailing address

5750 Centre Avenue
Suite 430
Pittsburgh, PA 15206
Phone (412) 363-8811

Other identifiers 2

IdentifierTypeStateIssuer
090363OtherPAHIGHMARK BLUE CROSS
0675882MedicaidPA

National Provider Directory

National Provider Directory

Locations

5750 Centre Ave
Ste 370
Pittsburgh, PA 15206
Phone (412) 363-8811

5750 Centre Ave
Ste 430
Pittsburgh, PA 15206
Phone (412) 363-8811

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1760453690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVENUE",
            "address_2": "SUITE 430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-363-8811",
            "fax_number": "412-363-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVENUE",
            "address_2": "SUITE 430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-363-8811",
            "fax_number": "412-363-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH SURGICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-363-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD015680E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "090363",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675882",
            "state": "PA"
        }
    ],
    "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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.