Provider Demographics
NPI:1023123296
Name:ASSOCIATES SURGERY CENTERS, LLC
Entity type:Organization
Organization Name:ASSOCIATES SURGERY CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CIBIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-653-3080
Mailing Address - Street 1:PO BOX 644220
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-4220
Mailing Address - Country:US
Mailing Address - Phone:412-653-3080
Mailing Address - Fax:412-650-8860
Practice Address - Street 1:9970 MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2474
Practice Address - Country:US
Practice Address - Phone:412-655-3046
Practice Address - Fax:412-650-8405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA50361501261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
17670OtherELDER HEALTH BRAVO
PA623740OtherADVANTRA/ HEALTH AMERICA
PAP00404252OtherRAILROAD MEDICARE
PA1019337320001Medicaid
PA411715OtherUPMC HEALTH PLAN
PA000000212316OtherUNISON HEALTH PLAN
PA3834221OtherCIGNA
PA623740OtherADVANTRA/ HEALTH AMERICA