Organization Active NPI

Allegheny Medical Practice Network

  • Internal Medicine Physician
  • MC Murray, PA
National Provider Identifier
1275508103
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLEGHENY MEDICAL PRACTICE NETWORK
Practice address
157 Waterdam Rd
Suite 120
MC Murray, PA 15317-2573
Phone
(724) 941-6697
Fax
(724) 941-7563
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Cindy Waltemire
Title
Managed Care Specialist
Phone
(412) 330-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

157 Waterdam Rd
Suite 120
MC Murray, PA 15317-2573

Mailing address

157 Waterdam Rd
Suite 120
MC Murray, PA 15317-2573
Phone (724) 941-6697

Other identifiers 1

IdentifierTypeStateIssuer
0017600750028MedicaidPA

Other names 1

  • Waterdam Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

157 Waterdam Rd
Ste 120
McMurray, PA 15317
Phone (724) 941-6697

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1275508103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WATERDAM RD",
            "address_2": "SUITE 120",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172573",
            "telephone_number": "724-941-6697",
            "fax_number": "724-941-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WATERDAM RD",
            "address_2": "SUITE 120",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172573",
            "telephone_number": "724-941-6697",
            "fax_number": "724-941-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY MEDICAL PRACTICE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-5523"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017600750028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterdam Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.