Allegheny Clinic
Organization Active NPI Internal Medicine Physician · Vandergrift, PA
NPI 1275969826 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1275969826
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 224 Longfellow St
Suite 200
Vandergrift, PA 15690-1476 - Phone
- (724) 568-5551
- Fax
- (724) 568-3137
- NPI assigned
- Sep 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Denise Noel
- Title
- Director Provider Enrollment
- Phone
- (412) 330-5861
Corporate family (same tax ID) 24
Practitioners 9
-
Victoria Lauren Dedig, CRNP
-
Jaclyn Delgreco, D.O.
-
David A. Logan, MD
-
Jaclyn Hynson McKelvy, M.S. CCC-SLP
-
Kaylee Troyer, DPT
-
Brodie Lynn Whitley, D.P.T.
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
- Tax ID family
- Agh Radiation Oncology
Locations
224 Longfellow St
Vandergrift, PA 15690
Phone (724) 567-6615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | PA | Yes |
Addresses
Primary practice location
224 Longfellow St
Suite 200
Vandergrift, PA 15690-1476
Mailing address
4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100731714 | Medicaid | PA |
Other names
- Mohan M. Patel
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.ahn.org |
Other providers in Vandergrift, PA
- Alliance Counseling LLC
- Stephanie Lynn Binando
- Stephen Anthony Brunetti
- C&S Ambulance Service Inc
- Community Health Clinic, Inc.
All providers in Vandergrift, PA · Internal 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.