Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD044363E | PA |
N | 208600000X | Surgeon | MD044363E | PA |
N | 2086S0102X | Surgical Critical Care | MD044363E | PA |
Y | 2086S0129X | Vascular Surgeon | MD044363E | PA |
N | 2086S0129X | Vascular Surgeon | PT15702 | ND |
NPI | 1255331278 |
---|---|
Provider Name | Dr. Dean Alan Healy |
First Address | Pittsburgh, PA 15224-1722 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011712450006 | (05) | PA |
127023000 | (05) | WV |
2060513 | (05) | OH |
E71360 | (02) | PA |