Organization Active NPI

K.M. Phanse, M.D.

  • Gynecology Physician
  • McMurray, PA
National Provider Identifier
1205965316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD034854L Issued in PA
Legal business name
K.M. PHANSE, M.D.
Practice address
4000 Waterdam Plaza Dr
Suite 280
McMurray, PA 15317-2494
Phone
(724) 941-1100
Fax
(724) 941-0190
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kalyani M Phanse, M.D.
Title
Physician
Phone
(724) 941-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X MD034854L PA Primary

Addresses

Primary practice location

4000 Waterdam Plaza Dr
Suite 280
McMurray, PA 15317-2494

Mailing address

4000 Waterdam Plaza Dr
Suite 280
McMurray, PA 15317-2494
Phone (724) 941-1100

Other names 1

  • Kalyani M. Phanse, M.D. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205965316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WATERDAM PLAZA DR",
            "address_2": "SUITE 280",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172494",
            "telephone_number": "724-941-1100",
            "fax_number": "724-941-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WATERDAM PLAZA DR",
            "address_2": "SUITE 280",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172494",
            "telephone_number": "724-941-1100",
            "fax_number": "724-941-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.M. PHANSE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHANSE",
        "authorized_official_first_name": "KALYANI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-941-1100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD034854L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalyani M. Phanse, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.