Orthopaedic Spine Specialists of Western PA, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD023955E Issued in PA

Legal business name

ORTHOPAEDIC SPINE SPECIALISTS OF WESTERN PA, P.C.

Practice address

425 First Avenue at Cherry Way
Hartley Rose Building, 4TH Floor
Pittsburgh, PA 15219-1321

Phone

(412) 391-5544

Fax

(412) 391-5422

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Selma L.a. Johnson

Title

Office Manager

Phone

(412) 391-5544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144351867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FIRST AVENUE AT CHERRY WAY",
            "address_2": "HARTLEY ROSE BUILDING, 4TH FLOOR",
            "city": "PITTSGURGH",
            "state": "PA",
            "postal_code": "152191321",
            "telephone_number": "412-391-5544",
            "fax_number": "412-391-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FIRST AVENUE AT CHERRY WAY",
            "address_2": "HARTLEY ROSE BUILDING, 4TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152191321",
            "telephone_number": "412-391-5544",
            "fax_number": "412-391-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPINE SPECIALISTS OF WESTERN PA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SELMA",
        "authorized_official_middle_name": "L.A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-391-5544",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD023955E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009489250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.