Allison Mailliard
Individual provider Active NPI Family Medicine Physician · Fairview, PA
NPI 1245253129 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1245253129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS012057 (PA)
- Practice address
- 7287 W Ridge Rd
Fairview, PA 16415-1130 - Phone
- (814) 877-2360
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070417000554 | PA | Practitioner - Family Practice | 9739141193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012057 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Family Medicine | Current |
Accepting new patients |
Locations
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
7287 W Ridge Rd
Fairview, PA 16415
Phone (814) 459-9300
200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS012057 | PA | Yes |
Addresses
Primary practice location
7287 W Ridge Rd
Fairview, PA 16415-1130
Mailing address
7287 W Ridge Rd
Fairview, PA 16415-1130
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allison.mailliard@upmcdirect.com | UPMC |
Other providers in Fairview, PA
- John Dennis Leonard
- David Ralph Levan
- Keith Martin Liccardi
- Live Oak Dermatology PC
- Alicia Marie Lyon
- Susan E Maland
- Timothy Gerard Mannino
- Renee Charleen Martin
- Blair Mead
- Medical Associates of Erie
All providers in Fairview, PA · Family 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 Mar 25, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.