Provider Demographics
NPI:1316029036
Name:JAN C. SESKI, M.D.& ASSOCIATES,MD,PC
Entity type:Organization
Organization Name:JAN C. SESKI, M.D.& ASSOCIATES,MD,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:G
Authorized Official - Last Name:CHERPAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-621-2888
Mailing Address - Street 1:3358 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3110
Mailing Address - Country:US
Mailing Address - Phone:412-621-2888
Mailing Address - Fax:412-621-7432
Practice Address - Street 1:3358 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3110
Practice Address - Country:US
Practice Address - Phone:412-621-2888
Practice Address - Fax:412-621-7432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000831206Medicaid
PA828844OtherHIGHMARK GROUP NUMBER
PA013448Medicare ID - Type UnspecifiedJOANNE R. OLECK, M.D.
PASE412005Medicare ID - Type UnspecifiedJAN C. SESKI, M.D
PA000831206Medicaid
PA828844OtherHIGHMARK GROUP NUMBER
PAC33629Medicare UPIN