Organization Active NPI

Samuel C. Mines MD Inc.

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1053526582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD007628E Issued in PA
Legal business name
SAMUEL C. MINES MD INC.
Practice address
1050 Bower Hill Rd Ste 310
Pittsburgh, PA 15243-1870
Phone
(412) 942-5750
Fax
(412) 942-5764
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Darlene Newton Armel, LPN
Title
Office Nurse
Phone
(412) 942-5750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD007628E PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd Ste 310
Pittsburgh, PA 15243-1870

Mailing address

1050 Bower Hill Rd Ste 310
Pittsburgh, PA 15243-1870
Phone (412) 942-5750

Other identifiers 7

IdentifierTypeStateIssuer
0077116OtherPAAENTA USH ID
1008642OtherPAGATEWAY PROVIDER NUMBER
6338-00OtherPAHEALTHAMERICA PROVIDER ID
7449-0OtherPAHEALTHASSURANCE ID
00571716MedicaidPA
1141712OtherPABEST ID
M1016357OtherPAHIGHMARK PROVIDER ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053526582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 310",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431870",
            "telephone_number": "412-942-5750",
            "fax_number": "412-942-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 310",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431870",
            "telephone_number": "412-942-5750",
            "fax_number": "412-942-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C. MINES MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARMEL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "OFFICE NURSE",
        "authorized_official_telephone_number": "412-942-5750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD007628E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA USH ID",
            "identifier": "0077116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER NUMBER",
            "identifier": "1008642",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA PROVIDER ID",
            "identifier": "6338-00",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHASSURANCE ID",
            "identifier": "7449-0",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571716",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEST ID",
            "identifier": "1141712",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER ID",
            "identifier": "M1016357",
            "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 Aug 22, 2020; 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.