Karen Petrisin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1000 Higbee Dr
Ste 104
Bethel Park, PA 15102-4200

Phone

(412) 833-6176

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: drkarenpetrisin@southhillsfamilymedicine.medentdirect.com

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174642979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BREEZEWOOD DR",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "15367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR",
            "address_2": "STE 104",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-833-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRISIN",
        "first_name": "KAREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Home Health Care Inc
• Pennsylvania CVS Pharmacy, L.L.C.
• Brett C Perricelli, MD
• Dejalynn Daqua Peterson
• Carmen Anthony Petraglia, MD
• Justin J Petrolla, MD
• Katelyn Marie Petronie, MA, CCC-SLP
• Cindy Suzanne Pfrimmer, MA, LPC
• Physician Landing Zone, P.C.
• Physicians Landing Zone, P.C.

• Medical Physician Assistant in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.