Active NPI
Allegheny Clinic
- Obstetrics & Gynecology Physician
- Canonsburg, PA
National Provider Identifier
1275969255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 100 Medical Blvd
Center for Women'S Health
Canonsburg, PA 15317-9762 - Phone
- (724) 884-0898
- Fax
- (724) 884-0899
- NPI assigned
- Sep 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cecili R Jones
- Title
- Analyst
- Phone
- (412) 330-4813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
100 Medical Blvd
Center for Women'S Health
Canonsburg, PA 15317-9762
Mailing address
100 Medical Blvd
Center for Women'S Health
Canonsburg, PA 15317-9762
Phone (724) 884-0898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100731714 | Medicaid | PA |
Other names 1
- For Women Obstetrics & Gynecology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Pittsburgh, PA
- NPI 1720303126
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1497736649
-
- Anatomic Pathology & Clinical Pathology Physician
- Jefferson Hills, PA
- NPI 1689977639
-
- Internal Medicine Physician
- MC Murray, PA
- NPI 1871570465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396915200000",
"number": "1275969255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL BLVD",
"address_2": "CENTER FOR WOMEN'S HEALTH",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179762",
"telephone_number": "724-884-0898",
"fax_number": "724-884-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL BLVD",
"address_2": "CENTER FOR WOMEN'S HEALTH",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179762",
"telephone_number": "724-884-0898",
"fax_number": "724-884-0899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGHENY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-23",
"last_updated": "2014-04-08",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CECILI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ANALYST",
"authorized_official_telephone_number": "412-330-4813"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100731714",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "For Women Obstetrics & Gynecology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.