Active NPI
Nancy H Park, M.D.
- Family Medicine Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD031618E
- Practice address
- 816 Middle St
Pittsburgh, PA 15212-4915 - Phone
- (412) 321-4001
- Fax
- (412) 321-4063
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD031618E | PA | Primary |
Addresses
Primary practice location
816 Middle St
Pittsburgh, PA 15212-4915
Mailing address
816 Middle St
Pittsburgh, PA 15212-4915
Phone (412) 321-4001
Other practice location 1
993 Brodhead Rd
Moon Township, PA 15108-2331
Phone (412) 264-1918
Other practice location 2
8702 University Blvd
Moon Township, PA 15108-4209
Phone (412) 299-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010612800002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Upmc Community Medicine Inc | Family Medicine | Past | Accepting new patients |
Locations
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
8702 University Blvd
Moon Twp, PA 15108
Phone (412) 299-3627
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- Erie, PA
- NPI 1487950986
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1588622294
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1013933837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 MIDDLE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124915",
"telephone_number": "412-321-4001",
"fax_number": "412-321-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 MIDDLE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124915",
"telephone_number": "412-321-4001",
"fax_number": "412-321-4063"
}
],
"practiceLocations": [
{
"address_1": "993 Brodhead Rd",
"address_purpose": "LOCATION",
"city": "Moon Township",
"state": "PA",
"postal_code": "151082331",
"country_code": "US",
"telephone_number": "412-264-1918",
"fax_number": "412-262-9114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8702 University Blvd",
"address_purpose": "LOCATION",
"city": "Moon Township",
"state": "PA",
"postal_code": "151084209",
"country_code": "US",
"telephone_number": "412-299-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "NANCY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD031618E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010612800002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.