Organization Active NPI

Pittsburgh Ear Associates PC

  • Otology & Neurotology Physician
  • Pittsburgh, PA
National Provider Identifier
1043390669
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
PITTSBURGH EAR ASSOCIATES PC
Practice address
420 E North Ave
Suite 402
Pittsburgh, PA 15212-4746
Phone
(412) 321-2480
Fax
(412) 321-4207
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Douglas A. Chen, M.D.NPI 1295818599
Title
Ceo
Phone
(412) 321-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X Primary

Addresses

Primary practice location

420 E North Ave
Suite 402
Pittsburgh, PA 15212-4746

Mailing address

420 E North Ave
Suite 402
Pittsburgh, PA 15212-4746
Phone (412) 321-2480

Other identifiers 2

IdentifierTypeStateIssuer
10751OtherPAHIGHMARK BLUE SHIELD
698159OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000156 PA Part B Supplier - Clinic/Group Practice 5294708426 Receives reassigned benefits from 17 practitioners
Practice locations: Pittsburgh, PA; Wexford, PA; Monroeville, PA

National Provider Directory

National Provider Directory

Locations

200 James Pl
Ste 406
Monroeville, PA 15146
Phone (412) 321-2480

6041 Wallace Road Ext
Wexford, PA 15090

8500 Brooktree Rd
Ste 110
Wexford, PA 15090
Phone (412) 321-2480

11676 Perry Hwy
Ste 2201
Wexford, PA 15090
Phone (412) 321-2480

6041 Wallace Road Ext
Ste 110
Wexford, PA 15090
Phone (412) 321-2480

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1043390669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-321-2480",
            "fax_number": "412-321-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-321-2480",
            "fax_number": "412-321-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH EAR ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-321-2480",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "10751",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "698159",
            "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 May 1, 2013; 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.