Allegheny Clinic

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ALLEGHENY CLINIC

Doing business as

AGH Physiatry

Practice address

1307 Federal St
2ND Floor
Pittsburgh, PA 15212-4705

Phone

(877) 660-6777

Fax

(412) 359-8340

NPI assigned

Jul 28, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecii Jones

Title

Managed Care Specialist

Phone

(412) 330-4813

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AGH Physiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043210420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "2ND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124705",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "2ND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124705",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CECII",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-4813"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2303804",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007317140107",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGH Physiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allegheny Clinic (Suburban Radiology Center)
• Allegheny Clinic (Suburban Clinical Laboratory)

• Physical Medicine & Rehabilitation Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.