Organization Active NPI

Pittsburgh Center for Plastic Surgery, P.C.

  • Plastic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1972341956
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PITTSBURGH CENTER FOR PLASTIC SURGERY, P.C.
Practice address
3109 Forbes Ave Ste 500
Pittsburgh, PA 15213-3012
Phone
(412) 802-6100
Fax
(412) 802-7700
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Armando Davila, MDNPI 1669816005
Title
President & Ceo
Phone
(412) 802-6100

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3109 Forbes Ave Ste 500
Pittsburgh, PA 15213-3012

Mailing address

3109 Forbes Ave Ste 500
Pittsburgh, PA 15213-3012
Phone (412) 802-6100

Other identifiers 2

IdentifierTypeStateIssuer
1942563564MedicaidMI
1669816005MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241024004385 PA Part B Supplier - Clinic/Group Practice 9739612052 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

3109 Forbes Ave
Ste 500
Pittsburgh, PA 15213
Phone (412) 802-6100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1972341956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 FORBES AVE STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133012",
            "telephone_number": "412-802-6100",
            "fax_number": "412-802-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 FORBES AVE STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133012",
            "telephone_number": "412-802-6100",
            "fax_number": "412-802-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH CENTER FOR PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "412-802-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942563564",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669816005",
            "state": "CA"
        }
    ],
    "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 17, 2024; 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.