Provider Demographics
NPI: | 1861906786 |
---|---|
Name: | STAT ANESTHESIA SPECIALISTS |
Entity type: | Organization |
Organization Name: | STAT ANESTHESIA SPECIALISTS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ANESTHESIOLOGIST |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | LUCIANA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GUERRA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 412-279-1231 |
Mailing Address - Street 1: | 106 ROBB HOLLOW RD |
Mailing Address - Street 2: | |
Mailing Address - City: | PITTSBURGH |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15243-1700 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 917-582-1455 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5727 CENTRE AVE |
Practice Address - Street 2: | |
Practice Address - City: | PITTSBURGH |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15206-3707 |
Practice Address - Country: | US |
Practice Address - Phone: | 412-363-6626 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-11-30 |
Last Update Date: | 2018-02-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD443537 | 207L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Single Specialty |