Provider Demographics
NPI:1538399241
Name:PITTSBURGH BONE & JOINT SURGEONS
Entity type:Organization
Organization Name:PITTSBURGH BONE & JOINT SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:K
Authorized Official - Last Name:HONKALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-267-5040
Mailing Address - Street 1:1321 FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2403
Mailing Address - Country:US
Mailing Address - Phone:412-678-0534
Mailing Address - Fax:412-678-9495
Practice Address - Street 1:180 FORT COUCH RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1041
Practice Address - Country:US
Practice Address - Phone:412-851-4166
Practice Address - Fax:412-851-4168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0584900003Medicare NSC