NPIMap

Organization Active NPI

Allegheny Medical Practice Network

  • Non-Pharmacy Dispensing Site
  • Gibsonia, PA
National Provider Identifier
1205977303
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
OS008315L Issued in PA
Legal business name
ALLEGHENY MEDICAL PRACTICE NETWORK
Practice address
5375 William Flynn Hwy
Richland Mall
Gibsonia, PA 15044-9666
Phone
(724) 444-4700
NPI assigned
Feb 9, 2007
Organization subpart
Yes
Parent organization
MEDVANTX,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Kenny Heine
Title
VP of Operations
Phone
(858) 625-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X OS008315L PA Primary

Addresses

Primary practice location

5375 William Flynn Hwy
Richland Mall
Gibsonia, PA 15044-9666

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

  • Pine Richland Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allegheny Medical Practice Network12 organizations share this tax ID, including this one
Part of
Tri - State Medical Group Inc

Other organizations with this tax ID 11

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1205977303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 WILLIAM FLYNN HWY",
            "address_2": "RICHLAND MALL",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449666",
            "telephone_number": "724-444-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY MEDICAL PRACTICE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX,INC",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "OS008315L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Richland Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.