Active NPI
Mary L Zervos, DO
- Pediatrics Physician
- Pittsburgh, PA
National Provider Identifier
1205836715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 05008697L
- Practice address
- 969 Greentree Rd
Pittsburgh, PA 15220-3303 - Phone
- (412) 922-5250
- Fax
- (412) 920-8162
- NPI assigned
- Jul 26, 2005
- Last updated
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05008697L | PA | Primary |
Addresses
Primary practice location
969 Greentree Rd
Pittsburgh, PA 15220-3303
Mailing address
969 Greentree Rd
Pittsburgh, PA 15220-3303
Phone (412) 922-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008697L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mzervos333250@direct.ahn.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1205836715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 GREENTREE RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152203303",
"telephone_number": "412-922-5250",
"fax_number": "412-920-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 GREENTREE RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152203303",
"telephone_number": "412-922-5250",
"fax_number": "412-920-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERVOS",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "05008697L",
"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 Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.