Active NPI
West Penn Allegheny Health System Inc
- Specialist
- Pittsburgh, PA
National Provider Identifier
1003929670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WEST PENN ALLEGHENY HEALTH SYSTEM INC
- Practice address
- 4815 Liberty Ave
Suite 156
Pittsburgh, PA 15224-2156 - Phone
- (412) 688-0207
- NPI assigned
- Aug 16, 2006
- Organization subpart
- Yes
- Parent organization
- WEST PENN ALLEGHENY HEALTH SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisan Dustevich
- Title
- Manager Specialty Practice Administ
- Phone
- (412) 224-6474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4815 Liberty Ave
Suite 156
Pittsburgh, PA 15224-2156
Mailing address
4815 Liberty Ave
Suite 156
Pittsburgh, PA 15224-2156
Phone (412) 688-0207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007277200022 | Medicaid | PA |
Other names 1
- Pittsburgh Cardio Thoracic Associates
National Provider Directory
National Provider Directory- Part of
- Tri County Cardiology I
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1003929670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE",
"address_2": "SUITE 156",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-688-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE",
"address_2": "SUITE 156",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-688-0207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PENN ALLEGHENY HEALTH SYSTEM INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST PENN ALLEGHENY HEALTH SYSTEM INC",
"enumeration_date": "2006-08-16",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "DUSTEVICH",
"authorized_official_first_name": "LISAN",
"authorized_official_title_or_position": "MANAGER SPECIALTY PRACTICE ADMINIST",
"authorized_official_telephone_number": "412-224-6474"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007277200022",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pittsburgh Cardio Thoracic Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pittsburgh, PA
- Emay Wessner, LCSW
- West Hills Medical Center, PC
- West Penn Allegheny Eye Associates, PC
- West Penn Allegheny Health System
- West Penn Allegheny Health System
- West Penn Allegheny Health System Inc
- West Penn Allegheny Health System Inc
- West Penn Allegheny Health System Inc,
- West Penn Allegheny Health System Inc.
- West Penn Allegheny Health System Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.