Provider Demographics
NPI:1487990727
Name:ADVANCE CARDIOLOGY, PC
Entity type:Organization
Organization Name:ADVANCE CARDIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:G
Authorized Official - Last Name:TAUBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-469-0600
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SOUTH HILLS MEDICAL BUILDING- SUITE 460
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-469-0600
Mailing Address - Fax:412-469-1147
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SOUTH HILLS MEDICAL BUILDING- SUITE 460
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-469-0600
Practice Address - Fax:412-469-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036728E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1258411002OtherCIGNA
PA714256OtherHIGHMARK BCBS
PA060016698OtherRAILROAD MEDICARE
PA102808OtherUPMC FOR LIFE
PA61167OtherMEDPLUS
PA102808OtherUPMC FOR YOU
4244892OtherAETNA
PA45-1517044OtherUNITED HEALTHCARE
PA0012938830012Medicaid
PA102808OtherUPMC HEALTH PLAN
PA714256S6HOtherMEDICARE INDIVIDUAL #
PA1503537OtherGATEWAY HEALTH PLAN
PA242497OtherCOVENTRY HEALTHCARE
PA45-1517044OtherTRICARE
4244892OtherAETNA