Organization Active NPI

Primary Care Group 11, Inc.

Doing business as AHN Primary Care McMurray

  • Family Medicine Physician
  • McMurray, PA
National Provider Identifier
1194049098
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE GROUP 11, INC.
Doing business as
AHN Primary Care McMurray
JRMC McMurray
Practice address
455 Valley Brook Rd
Suite 300
MC Murray, PA 15317-3367
Phone
(724) 941-5588
Fax
(724) 941-1458
NPI assigned
Mar 22, 2010
Organization subpart
Yes
Parent organization
JEFFERSON REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Denise Noel
Title
Director Provider Enrollment
Phone
(412) 770-6871

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS-003395-L PA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MD018247E PA

Addresses

Primary practice location

455 Valley Brook Rd
Suite 300
MC Murray, PA 15317-3367

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5861

Other names 2

  • AHN Primary Care McMurray Doing business as
  • JRMC McMurray Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.ahn.org

National Provider Directory

National Provider Directory
Part of
South HLS HLTH Sys Neur

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1194049098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-5861",
            "fax_number": "412-330-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 VALLEY BROOK RD",
            "address_2": "SUITE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173367",
            "telephone_number": "724-941-5588",
            "fax_number": "724-941-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE GROUP 11, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON REGIONAL MEDICAL CENTER",
        "enumeration_date": "2010-03-22",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "412-770-6871"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-003395-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD018247E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.ahn.org",
            "affiliation": "N",
            "address_1": "455 Valley Brook Rd",
            "address_2": "Suite 300",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153173367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AHN Primary Care McMurray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JRMC McMurray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JRMC McMurray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.