Provider Demographics
NPI:1306805940
Name:US HEART AND VASCULAR
Entity type:Organization
Organization Name:US HEART AND VASCULAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUNSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-278-0525
Mailing Address - Street 1:363 VANADIUM RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1497
Mailing Address - Country:US
Mailing Address - Phone:412-429-8840
Mailing Address - Fax:412-429-8067
Practice Address - Street 1:363 VANADIUM RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1497
Practice Address - Country:US
Practice Address - Phone:412-429-8840
Practice Address - Fax:412-429-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15718640016Medicaid
846133Medicare PIN