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Organization
PREMIER MEDICAL ASSOCIATES PC
Active
Organization
PREMIER MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DERUBEIS (CEO)
(412) 457-0060
Entity
Organization
Contact information
Practice address
3824 NORTHERN PIKE, SUITE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
(412) 457-0067
Mailing address
3824 NORTHERN PIKE, SUITE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
(412) 457-0067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
PA
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0200X
Infectious Disease Physician
—
PA
207RR0500X
Rheumatology Physician
—
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207W00000X
Ophthalmology Physician
—
PA
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100750460
—
PA
01
—
CJ0416
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
05/03/2013
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