Allegheny Clinic
Organization Active NPI Family Medicine Physician · Wexford, PA
NPI 1245639749 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1245639749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 12311 Perry Hwy
Wexford, PA 15090-8344 - Phone
- (878) 332-4159
- Fax
- (878) 332-4479
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
Authorized official
- Name
- Cindy Waltemire
- Title
- Provider Enrollment Specialist
- Phone
- (412) 330-5864
Practitioners 12
-
Andrew Chongaway, PT
-
Emily Denise Cottrell, M.D.
-
Ashley M Sanchez, PA-C
-
Noele Elizabeth Thompson, CRNP
-
Mark Stephen Tomich Jr., PA-C
-
Emily Valinsky, DPT
-
Brody Wood, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000602 | PA | Part B Supplier - Clinic/Group Practice | 5395649586 |
Receives reassigned benefits from 3,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
333 Allegheny Ave
Ste 101
Oakmont, PA 15139
Phone (412) 423-1048
5889 Forbes Ave
Ste 200
Squirrel Hill, PA 15217
Phone (412) 618-3010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
12311 Perry Hwy
Wexford, PA 15090-8344
Mailing address
4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5861
Other names
- Allegheny Clinic Primary Care North
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.ahn.org |
Other providers in Wexford, PA
- Mohamad Ali
- Mohammad Khizar Ali
- Alexis Elizabeth Allan
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
All providers in Wexford, 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 Nov 6, 2020. 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.