Allegheny Health Network

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

ALLEGHENY HEALTH NETWORK

Practice address

4815 Liberty Ave
Suite M56
Pittsburgh, PA 15224-2156

Phone

(412) 578-5539

Fax

(412) 605-6320

NPI assigned

Sep 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amanda Marie Ajine-Basil, PA-C

Title

Physician Assistant/Surgery

Phone

(586) 808-0907

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1003219411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE M56",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-5539",
            "fax_number": "412-605-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE M56",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-5539",
            "fax_number": "412-605-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "AJINE-BASIL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/SURGERY",
        "authorized_official_telephone_number": "586-808-0907",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA",
            "identifier": "MA057154",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allegheny General Hospital
• Allegheny General Hospital
• Allegheny General Hospital
• Allegheny General Hospital
• Allegheny General Hospital
• Allegheny Health Network
• Allegheny Health Network Home Medical Equipment LLC
• Allegheny Health Networks
• Allegheny Home Care LLC
• Allegheny Imaging of McCandless, LLC

• Colon & Rectal Surgery Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.