DR. FANNY SARAH ALIE-CUSSON


Address: 1350 Locust Street, Building C, Suite G-100, Pittsburgh, PA 15219
Phone: 4122329030

DR. FANNY SARAH ALIE-CUSSON (NPI# 1225524978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225524978
Entity Type Individual
Full Name DR. FANNY SARAH ALIE-CUSSON
Credential MD
Practice Address 1350 Locust Street
Building C, Suite G-100
Pittsburgh
PA 15219
Mailing Address 200 Lothrop St
E351.1 South Tower Puh
Pittsburgh
PA 15213-2536
Practice Telephone 4122329030
Mailing Telephone 4128023333
Enumeration Date 2018-07-05
Last Update Date 2020-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
MD471237 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 Gresham Dr Ste 8620, Norfolk, VA 235071904 7573886402

Office Location

Street Address 1350 LOCUST STREET
BUILDING C, SUITE G-100
City PITTSBURGH
State PA
Zip Code 15219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124090386 Ronald M. Benoit Jr. Specialist 1350 Locust Street, Suite G100a, Pittsburgh, PA 15219 2006-02-02
1881042968 Aldo Axel Mendez Ruiz Psychiatry & Neurology 1350 Locust Street, Department of Neurology, Suite 105, Pittsburgh, PA 15219 2016-05-30
1316382724 Ent Ct LLC Clinic/Center 1350 Locust Street, Suite 309, Pittsburgh, PA 15219 2013-04-30
1124337233 Jennifer Elaine Taurasi Physician Assistant 1350 Locust Street, Suite G 100a, Pittsburgh, PA 15219 2010-10-07
1023205572 Tatum Tarin Urology 1350 Locust Street, Suite G100a, Pittsburgh, PA 15219 2007-09-28
1164615936 Paul J Rusilko Urology 1350 Locust Street, Suite G100a, Pittsburgh, PA 15219 2007-08-24
1790982817 Julie Engelsen Cramer Physician Assistant 1350 Locust Street, Suite 220, Pittsburgh, PA 15219-5166 2007-07-02
1578609277 Michelle Jo Semins Urology 1350 Locust Street, Suite G100a, Pittsburgh, PA 15219 2007-01-29
1346390002 Toni Scanlan Physician Assistant 1350 Locust Street, Suite 406, Pittsburgh, PA 15219 2007-01-12
1366518367 Willis Dresdale Shook IIi Surgery 1350 Locust Street, Suite 410, Pittsburgh, PA 15219 2006-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972104263 Kendrick Cares LLC Home Health 2036 Reed Street, Pittsburgh, PA 15219 2020-11-04
1508496910 Damien Gabis Social Worker 4100 Alequipaa St, Pittsburgh, PA 15219 2020-01-24
1821653569 Sydney Marie Hand Student in an Organized Health Care Education/Training Program Upmc Mercy 1400 Locust Street, Pittsburgh, PA 15219 2019-05-08
1407411663 Gretchen Adele Ferber Student in an Organized Health Care Education/Training Program 1600 Locust St, Ermire, Suite 11516, Pittsburgh, PA 15219 2019-05-03
1598320608 Michael John Hurst Student in an Organized Health Care Education/Training Program 1400 Locus Street, Building B, Room 9520, Pittsburgh, PA 15219 2019-05-03
1558925875 Claire Collison Student in an Organized Health Care Education/Training Program General Surgery Residency: Attn Danielle Mckeever, 1400 Locust Street Ermire: Suite 6511, Pittsburgh, PA 15219 2019-04-23
1730742347 Rahul Reddy Bollam Student in an Organized Health Care Education/Training Program Mercy Health Clinic - 1515 Locust Street First Floor, Pittsburgh, PA 15219 2019-04-18
1265095251 Hiran Patel Student in an Organized Health Care Education/Training Program 1515 Locust St Floor 1st, Mercy Clinic, Pittsburgh, PA 15219 2019-04-16
1740773613 Jeremy Michael Philipsen Podiatrist 1400 Locust St Building B, Room 9520, Pittsburgh, PA 15219 2018-06-14
1376036509 Preetinder Singh Student in an Organized Health Care Education/Training Program 1515 Locust St 1st Floor Mercy Health Clinic, Pittsburgh, PA 15219 2018-06-12
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023423167 Catherine Go Surgery 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 2014-06-27
1124314893 Nathan Loren Liang Surgery 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 2011-06-21
1922090943 Madhusudanan Nair Surgery 4506 Penn Ave, Fl 2, Pittsburgh, PA 15224-1314 2005-08-16
1073012142 Usa Vein Clinics of Pittsburgh LLC Surgery 300 Chapel Harbor Dr Ste 102, Pittsburgh, PA 15238-4131 2018-02-05
1205286283 Amanda Phillips Surgery 200 Lothrop St, Pittsburgh, PA 15213-2536 2016-06-21
1578945945 Kathy Gonzalez Surgery 200 Lothrop St, Pittsburgh, PA 15213-2536 2015-06-22
1982086682 Kyle Markel Surgery 200 Lothrop St, Pittsburgh, PA 15213-2536 2015-06-18
1225443393 Nandan Nath Surgery 200 Lothrop St, Suite A-1011, Pittsburgh, PA 15213-2536 2014-06-26
1154735231 University of Pittsburgh Medical Center Surgery 200 Lothrop St, A-1017, Pittsburgh, PA 15213-2536 2014-06-17
1730433533 Harper Padolsky Surgery 320 E North Ave, Pittsburgh, PA 15212-4756 2012-10-31
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Competitor

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City PITTSBURGH
Zip Code 15219

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Dataset Information

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.

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