Organization Active NPI

Jeannette Primary Care

  • Internal Medicine Physician
  • Irwin, PA
National Provider Identifier
1205857091
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JEANNETTE PRIMARY CARE
Practice address
8775 Norwin Ave
Irwin, PA 15642-2718
Phone
(724) 527-8031
Fax
(724) 527-9683
NPI assigned
Jul 21, 2006
Organization subpart
Yes
Parent organization
JEANNETTE PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Sara A Iezzi
Title
Manager
Phone
(724) 527-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8775 Norwin Ave
Irwin, PA 15642-2718

Mailing address

600 Jefferson Ave
Jeannette, PA 15644-2505
Phone (724) 527-9525

Other names 1

  • Dr's Lipinski and Rathgeb Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeannette Primary Care7 organizations share this tax ID, including this one
Part of
Jeannette Primary Care

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1205857091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442505",
            "telephone_number": "724-527-9525",
            "fax_number": "724-527-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "724-527-8031",
            "fax_number": "724-527-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEANNETTE PRIMARY CARE",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "IEZZI",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-527-9525"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr's Lipinski and Rathgeb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.