Basic Information
| Provider Information | |||||||||
| NPI: | 1306804240 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PHARES | ||||||||
| FirstName: | PASCAL | ||||||||
| MiddleName: | ALAIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 LOTHROP ST | ||||||||
| Address2: | SUITE 9055 FORBES TOWER | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126473087 | ||||||||
| FaxNumber: | 4126474486 | ||||||||
| Practice Location | |||||||||
| Address1: | 123 W 6TH ST | ||||||||
| Address2: | |||||||||
| City: | EAST LIVERPOOL | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439202921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303857170 | ||||||||
| FaxNumber: | 3303856359 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2006 | ||||||||
| LastUpdateDate: | 06/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD430931 | PA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | 35.120761 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 101536895 | 05 | PA | MEDICAID |