Individual
MARK KEVIN GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 QUINN DR, PITTSBURGH, PA 15275-1055
(421) 264-9500
(412) 264-8999
Mailing address
200 QUINN DR, PITTSBURGH, PA 15275-1055
(412) 264-9500
(412) 264-8999
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD032259E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060928
UNISON HEALTH PLAN
—
05
—
0012242870001
—
PA
01
—
1002326
GATEWAY HEALTH PLAN
—
01
—
2174044
AETNA
—
01
—
2O4278
MEDICARE PIN
PA
01
—
512310
HIGHMARK BLUE SHIELD
PA
01
—
73759
HEALTH AMERICA
—
01
—
P00096580
RAILROAD MEDICARE
—
Enumeration date
11/10/2005
Last updated
01/20/2024
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