Provider Demographics
NPI:1245255447
Name:SPIESS, ALEXANDER MARCUS (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MARCUS
Last Name:SPIESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 SCENIC CT
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1523
Mailing Address - Country:US
Mailing Address - Phone:412-337-0806
Mailing Address - Fax:
Practice Address - Street 1:101 ORCHARD DR STE 201
Practice Address - Street 2:
Practice Address - City:TRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:15085-1640
Practice Address - Country:US
Practice Address - Phone:412-647-9426
Practice Address - Fax:412-679-4264
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427996208200000X, 2086S0122X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019930150001Medicaid
OH2800348Medicaid
WV3810009414Medicaid
PA113558NH3Medicare PIN