Provider Demographics
NPI:1972341956
Name:PITTSBURGH CENTER FOR PLASTIC SURGERY, P.C.
Entity type:Organization
Organization Name:PITTSBURGH CENTER FOR PLASTIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-802-6100
Mailing Address - Street 1:3109 FORBES AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3012
Mailing Address - Country:US
Mailing Address - Phone:412-802-6100
Mailing Address - Fax:412-802-7700
Practice Address - Street 1:3109 FORBES AVE STE 500
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3012
Practice Address - Country:US
Practice Address - Phone:412-802-6100
Practice Address - Fax:412-802-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1942563564Medicaid
CA1669816005Medicaid