Individual provider Active NPI

Nancy H Park, M.D.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1013933837
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD031618E Issued in PA
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

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0010612800002MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000763 PA Practitioner - Family Practice 3779610555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 2, 2012 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 2, 2012 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.

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

Verify at the official NPI Registry.