Organization Active NPI

Passavant Professional Associates Inc

  • Internal Medicine Physician
  • Cranberry Township, PA
National Provider Identifier
1164940862
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PASSAVANT PROFESSIONAL ASSOCIATES INC
Practice address
20130 Route 19 Ste 2200
Cranberry Township, PA 16066-6213
Phone
(724) 772-5400
Fax
(724) 772-5406
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Authorized official

Name
Patricia Devlin
Title
Director, Revenue Cycle
Phone
(412) 432-7469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

20130 Route 19 Ste 2200
Cranberry Township, PA 16066-6213

Mailing address

2 Hot Metal Street
Quantum 1 BLDG 3Rd Floor
Pittsburgh, PA 15203
Phone (412) 432-7469

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Cardiac Laboratory Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

20130 Route 19
Ste 2200
Cranberry Twp, PA 16066
Phone (724) 772-8280

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

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": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1164940862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL STREET",
            "address_2": "QUANTUM 1 BLDG 3RD FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15203",
            "telephone_number": "412-432-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 ROUTE 19 STE 2200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666213",
            "telephone_number": "724-772-5400",
            "fax_number": "724-772-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAVANT PROFESSIONAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "412-432-7469"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.