Organization Active NPI

Medical and Endocrine Associates

  • Specialist
  • Monongahela, PA
National Provider Identifier
1063625473
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD046661L Issued in PA
Legal business name
MEDICAL AND ENDOCRINE ASSOCIATES
Practice address
420 W Main St
Monongahela, PA 15063-2552
Phone
(724) 258-8680
NPI assigned
May 8, 2007
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Silvana Yovanof, M.D.NPI 1770561375
Title
President
Phone
(724) 258-8680

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
Specialist 174400000X MD046661L PA Primary

Addresses

Primary practice location

420 W Main St
Monongahela, PA 15063-2552

Mailing address

420 W Main St
Monongahela, PA 15063-2552
Phone (724) 258-8680

Other identifiers 2

IdentifierTypeStateIssuer
YO416494OtherPAHIGHMARK BLUE SHIELD
MA1423389MedicaidPA

Other names 1

  • Medical and Endocrinology Assoc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000048 PA Part B Supplier - Clinic/Group Practice 1355588666 Receives reassigned benefits from 1 practitioner
Practice locations: Monongahela, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0890423Medical and Endocrine Associates PC420 West Main Street, Monongahela, PA 15063Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

420 W Main St
Monongahela, PA 15063
Phone (724) 258-8680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1063625473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632552",
            "telephone_number": "724-258-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632552",
            "telephone_number": "724-258-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND ENDOCRINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "YOVANOF",
        "authorized_official_first_name": "SILVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-258-8680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD046661L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "YO416494",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA1423389",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical and Endocrinology Assoc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.