Provider Demographics
NPI:1780706465
Name:HEALTHQUEST MEDICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:HEALTHQUEST MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:724-449-9355
Mailing Address - Street 1:5318 RANALLI DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9653
Mailing Address - Country:US
Mailing Address - Phone:724-449-9355
Mailing Address - Fax:724-502-4594
Practice Address - Street 1:5318 RANALLI DR
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9653
Practice Address - Country:US
Practice Address - Phone:724-449-9355
Practice Address - Fax:724-502-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011515210001Medicaid
PA1652336OtherBLUE SHIELD
PA1652336OtherBLUE SHIELD