Individual provider Active NPI

Lauren Buddendeck, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1174247100
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064095 Issued in PA
Practice address
310 Rodi Rd Ste 140
Pittsburgh, PA 15235-3318
Phone
(412) 371-6414
Fax
(412) 371-9739
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA064095 PA Primary

Addresses

Primary practice location

310 Rodi Rd Ste 140
Pittsburgh, PA 15235-3318

Mailing address

3824 Northern Pike Ste 700
Monroeville, PA 15146-2184
Phone (412) 457-0060

Other practice location 1

4044 Route 130 Ste 240
Irwin, PA 15642-7808
Phone (724) 744-7337

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address laurenbuddendeck@pmapa.allscriptsdirect.net Direct
Direct Messaging Address laurenbuddendeck@pmapa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118000531 PA Practitioner - Physician Assistant 8123496387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, PC CurrentSince Nov 7, 2022 Accepting new patients
Premier Medical Associates PC CurrentSince Nov 7, 2022 Accepting new patients

Locations

4044 Route 130
Ste 240
Irwin, PA 15642
Phone (724) 744-7337

3824 Northern Pike
Ste 700
Monroeville, PA 15146
Phone (412) 457-0060

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

310 Rodi Rd
Ste 140
Pittsburgh, PA 15235
Phone (412) 371-6414

Interoperability endpoints

  • Direct secure messaging: lbuddendeck569696@direct.ahn.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1174247100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462184",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RODI RD STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353318",
            "telephone_number": "412-371-6414",
            "fax_number": "412-371-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4044 Route 130 Ste 240",
            "address_purpose": "LOCATION",
            "city": "Irwin",
            "state": "PA",
            "postal_code": "156427808",
            "country_code": "US",
            "telephone_number": "724-744-7337",
            "fax_number": "724-744-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDDENDECK",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurenbuddendeck@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4044 Route 130 Ste 240",
            "city": "Irwin",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156427808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurenbuddendeck@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Rodi Rd Ste 140",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152353318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.