Ahn Emergency Group of Jefferson LTD
Organization Active NPI Emergency Medicine Physician · Jefferson Hills, PA
NPI 1235518499 · NPPES record last updated May 21, 2015
Key facts
- NPI
- 1235518499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- AHN EMERGENCY GROUP OF JEFFERSON LTD
- Practice address
- 565 Coal Valley Rd
Jefferson Hills, PA 15025-3703 - Phone
- (330) 493-4443
- Fax
- (330) 493-8677
- NPI assigned
- May 21, 2015
- Organization subpart
- No
Authorized official
- Name
- David Charles Packo, MD
- Title
- President
- Phone
- (330) 493-4443
Practitioners 106
-
Nishita Saraiya, MD
-
Amanda Marie Baldwin, CRNP
-
Gina Belvedere, CRNP
-
David Connell, CRNP
-
Marlaina Eldred, CRNP
-
Scott Glazier, M.D.
-
Zachary Hadfield, CRNP
-
Kip Dean Jenifer, MD
-
Le Mimi Kern, CRNP
-
Courtney Lee Killmeyer, CRNP
-
Bruce A Macleod, MD
-
Thomas McDowell, MSN, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150630002216 | PA | Part B Supplier - Clinic/Group Practice | 0345552527 |
Receives reassigned benefits from 106 practitioners Practice locations: Jefferson Hills, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other providers in Jefferson Hills, PA
- Alicia Adams
- Abiola Adebola Adebayo
- Advance Cardiology, PC
- Aeg Pennsylvania Professional Inc
- Patience Ngozi Agbodzie
- Ahn Observation Group LLC
- Melissa Carrie Albert
- Susan Albrecht
- Juliann Alfera
- Allegheny Clinic
All providers in Jefferson Hills, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.