Pezzone Gastroenterology Associates

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057989 Issued in PA

Legal business name

PEZZONE GASTROENTEROLOGY ASSOCIATES

Practice address

86 Wellness Way
Washington, PA 15301-9720

Phone

(724) 503-4637

Fax

(724) 503-4429

NPI assigned

May 11, 2016

Last updated

May 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Pezzone, M.D.

Title

Physician

Phone

(724) 503-4637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1295181048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WELLNESS WAY",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019720",
            "telephone_number": "724-503-4637",
            "fax_number": "724-503-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WELLNESS WAY",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019720",
            "telephone_number": "724-503-4637",
            "fax_number": "724-503-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEZZONE GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "PEZZONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-503-4637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia Ann Petraglia, D.O.
• Bridgette Lauren Petras, MS, CAADC, LPC
• Natalie Petrosky
• Darl Pettigrew
• Dana Rae Pettit, MOTR/L
• Danielle Pferdehirt
• Wayne J Pfrimmer, M.D.
• Anthony Ninh Pham
• Tuyen T Pham, DMD, MS
• Mohan Phanse, MD

• Medical Physician Assistant in Washington, PA
• Providers in Washington, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.