KEVIN BORDEAU (NPI# 1164421509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164421509 |
| Entity Type | Individual |
| Full Name | KEVIN BORDEAU |
| Practice Address |
1050 Bower Hill Rd Pittsburgh PA 15243-1800 |
| Mailing Address |
200 Delafield Rd Suite 3060 Pittsburgh PA 15215-3205 |
| Practice Telephone | 4125726197 |
| Practice Fax Number | 4125726195 |
| Mailing Telephone | 4127816448 |
| Mailing Fax Number | 4127811350 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD425640 | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY | 1545957 | 01 |
| PA | PALMETTO | P00230561 | 01 |
| Street Address |
1050 BOWER HILL RD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15243-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205562 | G.i. Specialists, Inc. | Internal Medicine | 1050 Bower Hill Rd, Ste 305, Pittsburgh, PA 15243-1869 | 2005-06-20 |
| 1912446899 | St. Clair Medical Services Inc. | Internal Medicine | 1050 Bower Hill Rd, 304, Pittsburgh, PA 15243-1800 | 2017-02-13 |
| 1366863516 | St. Clair Medical Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1050 Bower Hill Rd, Suite 203, Pittsburgh, PA 15243-1800 | 2013-12-13 |
| 1760736227 | St. Clair Medical Services, Inc. | Internal Medicine | 1050 Bower Hill Rd, Suite 308, Pittsburgh, PA 15243-1800 | 2012-11-06 |
| 1669754099 | St. Clair Medical Services, Inc. | Colon & Rectal Surgery | 1050 Bower Hill Rd, Suite 208, Pittsburgh, PA 15243-1800 | 2011-09-12 |
| 1548553977 | Jean M Watkinson | Physician Assistant | 1050 Bower Hill Rd, Suite 202, Pittsburgh, PA 15243-1800 | 2011-05-18 |
| 1508177916 | Horacio A Spina Md | Psychiatric Unit | 1050 Bower Hill Rd, Suite 303, Pittsburgh, PA 15243-1800 | 2010-06-30 |
| 1851613806 | Aj Carvelli Md & Associates PC | Pain Medicine | 1050 Bower Hill Rd, Pittsburgh, PA 15243-1800 | 2010-02-18 |
| 1194965871 | Christina L King | Nurse Practitioner | 1050 Bower Hill Rd, Suite 203, Pittsburgh, PA 15243-1800 | 2009-02-20 |
| 1588818231 | Diet At Work LLC | Dietitian, Registered | 1050 Bower Hill Rd, Pittsburgh, PA 15243-1800 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275884694 | Maria M Martin | Counselor | 37 Mc Murray Rd, Suite 209, Pittsburgh, PA 15243 | 2012-09-25 |
| 1023306883 | Christina R Lieb | Physical Therapist | 1145 Bower Hill Road #101, Mt Lebanon, PA 15243 | 2011-07-14 |
| 1023114493 | Dennis Anthony Perry | Dentist | 1082 Bower Hill Road, Pittsburgh, PA 15243 | 2006-09-15 |
| 1730158643 | Rene Vernon Straka | Nurse Anesthetist, Certified Registered | 117 Elatan Drive, Pittsburgh, PA 15243 | 2006-03-14 |
| 1922002385 | Robert Earl Flanigan | Internal Medicine | 1050 Bower Hill Road, Ste 305, Pittsburgh, PA 15243 | 2005-06-13 |
| 1124575782 | Ashley Louise Ashaolu | Anesthesiology | 1000 Bower Hill Rd, Pittsburgh, PA 15243 | 2016-09-01 |
| 1871962654 | Emily Beth Mertiff | Nurse Practitioner | 1050 Bower Hill Road, Suite 202, Pittsburgh, PA 15243 | 2015-09-22 |
| 1114305273 | Ariel Hofman | Pediatrics | 1000 Bower Hill Rd, Pittsburgh, PA 15243 | 2015-05-09 |
| 1326436528 | Megan Stanik | Pharmacist | 1121 Bower Hill Rd, Pittsburgh, PA 15243 | 2014-12-23 |
| 1154667657 | Edward Walter Jew Jr. | Surgery | 100 Adams Ave, Apt - 224, Pittsburgh, PA 15243 | 2013-01-02 |
| Find all providers in zip 15243 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285278762 | Sisters Iv A Hair Boutique | Specialist | 5510 Centre Ave Unit 1, Pittsburgh, PA 15232-1220 | 2019-10-29 |
| 1356983290 | Mt. Lebanon Dermatology Associates, PC | Specialist | 607 Washington Rd Lowr Level, Pittsburgh, PA 15228-1903 | 2019-10-11 |
| 1083096580 | Wmc Physician Practices LLC | Specialist | 3 Robinson Plz Ste 410, Pittsburgh, PA 15205-1018 | 2015-06-22 |
| 1114318755 | Melissa Jensen | Specialist | 370 Lawn Street, Pittsburgh, PA 15213 | 2015-02-17 |
| 1174914170 | Courtney Ertel | Specialist | 833 Flemington St, Pittsburgh, PA 15217-2633 | 2015-02-11 |
| 1962818500 | Stephanie Ziegler | Specialist | 115 Kensington Dr, Pittsburgh, PA 15237-1292 | 2014-07-03 |
| 1295148054 | Ana Horton | Specialist | 1623 Chestnut Ridge Dr, Pittsburgh, PA 15205-4716 | 2014-06-09 |
| 1174965602 | Friedman Cardiology PC | Specialist | 5845 Centre Ave, Pittsburgh, PA 15206-3759 | 2013-07-25 |
| 1891004164 | Jennifer Babusci | Specialist | 328 Breading Ave, Pittsburgh, PA 15202-1808 | 2010-10-04 |
| 1902123607 | Kaylee Marie Fischer | Specialist | 1817 Chislett St Apt 5, Pittsburgh, PA 15206-1071 | 2010-04-21 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15243 |
Please comment or provide details below to improve the information on KEVIN BORDEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.