Organization Active NPI

Xperience Medical Center, LLC

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1043571102
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD026161L Issued in PA
Legal business name
XPERIENCE MEDICAL CENTER, LLC
Practice address
2121 Noblestown Rd
Suite 115
Pittsburgh, PA 15205-3956
Phone
(412) 444-4455
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Frank John Verri
Title
Cfo
Phone
(412) 444-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD026161L PA Primary

Addresses

Primary practice location

2121 Noblestown Rd
Suite 115
Pittsburgh, PA 15205-3956

Mailing address

2121 Noblestown Rd
Suite 115
Pittsburgh, PA 15205-3956
Phone (412) 444-4455

Other identifiers 1

IdentifierTypeStateIssuer
1942293337OtherPANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1043571102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NOBLESTOWN RD",
            "address_2": "SUITE 115",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053956",
            "telephone_number": "412-444-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NOBLESTOWN RD",
            "address_2": "SUITE 115",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053956",
            "telephone_number": "412-444-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPERIENCE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "VERRI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-444-4455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026161L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942293337",
            "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 Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.