McMurray Pediatric and Adolescent Medicine

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD419996 Issued in PA

Legal business name

MCMURRAY PEDIATRIC AND ADOLESCENT MEDICINE

Practice address

6000 Waterdam Plaza Dr
Suite 280
MC Murray, PA 15317-5413

Phone

(724) 941-8199

Fax

(724) 942-6423

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Tonja J Dicamillo, MD

Title

Owner

Phone

(724) 941-8199

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1205879541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 WATERDAM PLAZA DR",
            "address_2": "SUITE 280",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175413",
            "telephone_number": "724-941-8199",
            "fax_number": "724-942-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WATERDAM PLAZA DR",
            "address_2": "SUITE 280",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175413",
            "telephone_number": "724-941-8199",
            "fax_number": "724-942-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMURRAY PEDIATRIC AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "DICAMILLO",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-941-8199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD419996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon H McGranahan, MD
• Barbara Ann McIntyre, LPC
• McMurray Dental
• McMurray Dental Care P C
• McMurray Hills Rehabilitation and Healthcare Center LLC
• McMurray Proadjuster Chiropractic Clinic
• McMurray SNF Healthcare LLC
• Megan McPherson, LPC
• John Christian McShane, D.M.D.
• Hannah Medvid

• Pediatric Adolescent Medicine Physician in MC Murray, PA
• Providers in MC Murray, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.