Organization Active NPI

Michael a Kwiat MD

  • Psychiatry Physician
  • Beaver, PA
National Provider Identifier
1144401340
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD043875L Issued in PA
Legal business name
MICHAEL A KWIAT MD
Practice address
1360 Sharon Rd
Beaver, PA 15009-3128
Phone
(724) 773-0216
Fax
(724) 773-0219
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Michael A Kwiat, MDNPI 1366491094
Title
Owner
Phone
(724) 773-0216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD043875L PA Primary

Addresses

Primary practice location

1360 Sharon Rd
Beaver, PA 15009-3128

Mailing address

1360 Sharon Rd
Beaver, PA 15009-3128
Phone (724) 773-0216

Other identifiers 1

IdentifierTypeStateIssuer
1695767OtherPATRADITIONAL BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000139 PA Part B Supplier - Clinic/Group Practice 2466493895 Receives reassigned benefits from 1 practitioner
Practice locations: Beaver, PA

National Provider Directory

National Provider Directory
Tax ID family
Michael a Kwiat MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1360 Sharon Rd
#A
Beaver, PA 15009
Phone (724) 773-0216

1360 Sharon Rd
West Bridgewater, PA 15009
Phone (724) 773-0216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1144401340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093128",
            "telephone_number": "724-773-0216",
            "fax_number": "724-773-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093128",
            "telephone_number": "724-773-0216",
            "fax_number": "724-773-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A KWIAT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "KWIAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-773-0216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD043875L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL BLUE SHIELD",
            "identifier": "1695767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.