Active NPI
Khan Medical Associate
- Family Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1184976631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012275
- Legal business name
- KHAN MEDICAL ASSOCIATE
- Practice address
- 200 Penn Ave
Pittsburgh, PA 15221-2156 - Phone
- (412) 242-8860
- NPI assigned
- Oct 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdul Q Khan, MD
- Title
- MD
- Phone
- (412) 242-8860
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | SP012275 | PA | |
| Pediatric Skilled Nursing Facility | 3140N1450X | SP012275 | PA | |
| Inpatient Hospice | 315D00000X | SP012275 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP012275 | PA | Primary |
Addresses
Primary practice location
200 Penn Ave
Pittsburgh, PA 15221-2156
Mailing address
208 Seigfried Street
PO Box 206
Arona, PA 15617
Phone (724) 217-0782
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349740800000",
"number": "1184976631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 SEIGFRIED STREET",
"address_2": "PO BOX 206",
"city": "ARONA",
"state": "PA",
"postal_code": "15617",
"telephone_number": "724-217-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PENN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152212156",
"telephone_number": "412-242-8860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAN MEDICAL ASSOCIATE",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ABDUL",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "412-242-8860",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "SP012275",
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "PA",
"license": "SP012275",
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "PA",
"license": "SP012275",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.