Provider Demographics
NPI:1538234976
Name:NORTH HILLS PASSAVANT CARDIOLOGY ASSOCIATES PC
Entity type:Organization
Organization Name:NORTH HILLS PASSAVANT CARDIOLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-935-6633
Mailing Address - Street 1:P.O. BOX 96158
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226
Mailing Address - Country:US
Mailing Address - Phone:412-983-3911
Mailing Address - Fax:412-207-0769
Practice Address - Street 1:9100 BABCOCK BLVD
Practice Address - Street 2:UPMC PASSAVANT HOSPITAL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:724-228-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
541648Medicare ID - Type Unspecified