Active NPI
Timothy Albert Debiasse, MD
- Pediatrics Physician
- Murrysville, PA
National Provider Identifier
1023050788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD021031
- Practice address
- 3950 William Penn Hwy
Murrysville, PA 15668-1870 - Phone
- (724) 325-2133
- Fax
- (724) 733-2278
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD021031 | PA | Primary |
Addresses
Primary practice location
3950 William Penn Hwy
Murrysville, PA 15668-1870
Mailing address
3950 William Penn Hwy
Murrysville, PA 15668-1870
Phone (724) 325-2133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021031 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1023050788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681870",
"telephone_number": "724-325-2133",
"fax_number": "724-733-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681870",
"telephone_number": "724-325-2133",
"fax_number": "724-733-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBIASSE",
"first_name": "TIMOTHY",
"middle_name": "ALBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD021031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.