West Penn Allegheny Health System Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD065330L Issued in PA

Legal business name

WEST PENN ALLEGHENY HEALTH SYSTEM INC.

Practice address

100 Medical Blvd
Canonsburg, PA 15317-9762

Phone

(724) 942-5493

Fax

(724) 942-5496

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Denise Cravener

Title

Managed Care Specialist

Phone

(412) 330-4938

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Penn Breast Surgery Doing business as

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1093995201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "724-942-5493",
            "fax_number": "724-942-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "724-942-5493",
            "fax_number": "724-942-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PENN ALLEGHENY HEALTH SYSTEM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "CRAVENER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-4938"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD065330L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007277200106",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Penn Breast Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles W Weldy, DPM
• Kathryn O Weldy, DPM
• Wellness Chiropractic Center of Southpointe, PC
• Wenner Company
• Kristina Wenslovas, PHARMD
• Mackenzie Westfield
• Robert Lance Westwood, DC
• Dawsyn Wheeling
• Whel Physical Therapy LLC
• Jennifer Whittaker-Smith, COTA/L

• Surgery Physician in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.