Active NPI
Mercy Primary Care, Inc.
- Internal Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1124080429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY PRIMARY CARE, INC.
- Practice address
- 3089 Sussex Ave
Pittsburgh, PA 15226-2516 - Phone
- (412) 571-1022
- Fax
- (412) 571-1032
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Eschak
- Title
- Ceo
- Phone
- (412) 232-8111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3089 Sussex Ave
Pittsburgh, PA 15226-2516
Mailing address
3089 Sussex Ave
Pittsburgh, PA 15226-2516
Phone (412) 571-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01582124 | Medicaid | PA |
Other names 1
- Pittsburgh Internal Medicne Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124080429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3089 SUSSEX AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152262516",
"telephone_number": "412-571-1022",
"fax_number": "412-571-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3089 SUSSEX AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152262516",
"telephone_number": "412-571-1022",
"fax_number": "412-571-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY PRIMARY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ESCHAK",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-232-8111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01582124",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pittsburgh Internal Medicne Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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.