Individual provider Active NPI

Heather N Moury, D.O.

  • Neurology Physician
  • Pittsburgh, PA
National Provider Identifier
1073958872
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OT015359 Issued in PA
Practice address
1050 Bower Hill Rd Ste 105
Pittsburgh, PA 15243-1866
Phone
(412) 942-6300
Fax
(412) 942-6322
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OT015359 PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd Ste 105
Pittsburgh, PA 15243-1866

Mailing address

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

320 E North Ave
East Wing, Suite 206
Pittsburgh, PA 15212
Phone (412) 359-6527

Other practice location 2

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-4000

Other names 1

  • Dr. Heather Nicole Manfredo Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address credential.group@stclair.org Health Information Exchange (HIE)
Direct Messaging Address credential.group@stclair.org Health Information Exchange (HIE)
Direct Messaging Address credential.group@stclair.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622000860 PA Practitioner - Neurology 8628363207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Bethel Park, PA 15102-1827
Phone (412) 942-8800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT015359PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services, Inc. CurrentSince Sep 15, 2020 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Sep 15, 2020 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

2000 Oxford Dr
Ste 405
Bethel Park, PA 15102
Phone (412) 942-6300

2000 Oxford Dr
Bethel Park, PA 15102
Phone (412) 344-6600

1050 Bower Hill Rd
Ste 105
Pittsburgh, PA 15243
Phone (412) 572-6194

1050 Bower Hill Rd
Ste 101
Pittsburgh, PA 15243
Phone (412) 343-1770

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

101 Trich Dr
Ste 1
Washington, PA 15301
Phone (724) 228-4011

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1073958872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431866",
            "telephone_number": "412-942-6300",
            "fax_number": "412-942-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_2": "EAST WING, SUITE 206",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-359-6527",
            "fax_number": "412-359-8477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Bower Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURY",
        "first_name": "HEATHER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OT015359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credential.group@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2000 Oxford Dr Ste 405",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credential.group@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1000 Bower Hill Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credential.group@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1050 Bower Hill Rd Ste 105",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MANFREDO",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.