| J.a. Santiesteban, Md | |
|
5426 Mifflin Rd Pittsburgh PA 15207-2350 | |
| (724) 462-1800 | |
| (412) 462-5501 |
| Full Name | J.a. Santiesteban, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 5426 Mifflin Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Denise Noel (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4123305861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J.a. Santiesteban, Md 5426 Mifflin Rd Pittsburgh PA 15207-2350 Ph: (724) 462-1800 | J.a. Santiesteban, Md 5426 Mifflin Rd Pittsburgh PA 15207-2350 Ph: (724) 462-1800 |
| NPI Number | 1528292281 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 3274687330 |
|---|---|
| Medicare Enrollment ID | O20090825000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528292281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD039877L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph A Santiesteban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568441756 PECOS PAC ID: 6608779715 Enrollment ID: I20040128000152 |
| Provider Name | Lana P Bliner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083940282 PECOS PAC ID: 9234269937 Enrollment ID: I20100607000366 |
| Provider Name | Kyle Ritchie Bahnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548744279 PECOS PAC ID: 9830434125 Enrollment ID: I20181213003232 |
| Provider Name | Sarah Elizabeth Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216380 PECOS PAC ID: 1355720764 Enrollment ID: I20220615000958 |
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