Allegheny Clinic
Organization Active NPI Internal Medicine Physician · Monroeville, PA
NPI 1134555121 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1134555121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 4217 Northern Pike
Monroeville, PA 15146-2713 - Phone
- (412) 372-9100
- Fax
- (412) 372-6952
- NPI assigned
- Sep 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Cindy Waltemire
- Title
- Provider Enrollment Specialist
- Phone
- (412) 330-5864
Practitioners 15
-
Alfred J Burgo, MD
-
Thomas Stephen Chechak, CRNP
-
Courtney Lyn Cyrus, PT, DPT
-
Lori D Homa, MD
-
Aubrey Rose Kendig, CNM
-
Tessa M Kracinovsky, PA-C
-
Stephanie Riffer, PA-C
-
Annette Shaffer, PT
-
David G Wright, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000602 | PA | Part B Supplier - Clinic/Group Practice | 5395649586 |
Receives reassigned benefits from 3,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
4217 Northern Pike
Monroeville, PA 15146-2713
Mailing address
4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007317140433 | Medicaid | PA |
Other names
- AHN Primary Care Monroeville
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.ahn.org |
Other providers in Monroeville, PA
- Alexis Connors Counseling LLC
- Deanna R Alko
- Allcare Dental & Dentures PC
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
All providers in Monroeville, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.