Provider Demographics
NPI:1306939558
Name:NORTH HILLS ENDOCRINE ASSOCIATES LTD
Entity type:Organization
Organization Name:NORTH HILLS ENDOCRINE ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:CALVO
Authorized Official - Last Name:BERGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-933-0155
Mailing Address - Street 1:11676 PERRY HIGHWAY
Mailing Address - Street 2:SUITE 1308
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8758
Mailing Address - Country:US
Mailing Address - Phone:724-933-0155
Mailing Address - Fax:724-933-0833
Practice Address - Street 1:11676 PERRY HIGHWAY
Practice Address - Street 2:SUITE 1308
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8758
Practice Address - Country:US
Practice Address - Phone:724-933-0155
Practice Address - Fax:724-933-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122901Medicare PIN