Provider Demographics
NPI:1215926662
Name:GEORGE SCHEIN MD PC
Entity type:Organization
Organization Name:GEORGE SCHEIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIVOSEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-833-1100
Mailing Address - Street 1:2311 OLD BETHEL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102
Mailing Address - Country:US
Mailing Address - Phone:412-833-1100
Mailing Address - Fax:412-833-5207
Practice Address - Street 1:2311 OLD BETHEL CHURCH RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102
Practice Address - Country:US
Practice Address - Phone:412-833-1100
Practice Address - Fax:412-833-5207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020799Medicare PIN