Organization Active NPI

MLG Podiatry Inc

  • Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1265468482
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MLG PODIATRY INC
Practice address
730 Brownsville Rd
Pittsburgh, PA 15210-2300
Phone
(412) 381-4830
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Pam Bornscheuer
Title
Billing MGR
Phone
(412) 381-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

730 Brownsville Rd
Pittsburgh, PA 15210-2300

Mailing address

730 Brownsville Rd
Pittsburgh, PA 15210-2300
Phone (412) 381-4830

Other identifiers 2

IdentifierTypeStateIssuer
0011427080004MedicaidPA
546370OtherPABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001241 PA Part B Supplier - Clinic/Group Practice 4284672445 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

3901 Washington Rd
McMurray, PA 15317
Phone (412) 381-4386

730 Brownsville Rd
Pittsburgh, PA 15210
Phone (412) 381-4386

1438 Potomac Ave
Pittsburgh, PA 15216
Phone (412) 571-0200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1265468482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152102300",
            "telephone_number": "412-381-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152102300",
            "telephone_number": "412-381-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLG PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BORNSCHEUER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "412-381-4830"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011427080004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "546370",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.