Provider Demographics
NPI:1801914221
Name:ADVANCED OB/GYN ASSOCIATES, P.C.
Entity type:Organization
Organization Name:ADVANCED OB/GYN ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CYPHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-285-9200
Mailing Address - Street 1:901 EAST BRADY STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-285-9200
Mailing Address - Fax:724-285-9288
Practice Address - Street 1:901 EAST BRADY STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-285-9200
Practice Address - Fax:724-285-9288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016916390008Medicaid
PA0016916390008Medicaid