Provider Demographics
NPI:1174702203
Name:LEVIN FAMILY MEDICINE, LLC
Entity type:Organization
Organization Name:LEVIN FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-216-9300
Mailing Address - Street 1:259 OLD ROUTE 30
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6992
Mailing Address - Country:US
Mailing Address - Phone:724-216-9300
Mailing Address - Fax:724-216-9302
Practice Address - Street 1:259 OLD ROUTE 30
Practice Address - Street 2:SUITE C
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6992
Practice Address - Country:US
Practice Address - Phone:724-216-9300
Practice Address - Fax:724-216-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
312560OtherHEALTH AMERICA
3723448OtherAETNA
PA233445200OtherINDEPENDENCE BLUE SHIELD
PAP00442997OtherRAILROAD MEDICARE
252235OtherUPMC HEALTH PLAN
PA1658189OtherHIGHMARK BLUE SHIELD