Mercy Primary Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MERCY PRIMARY CARE INC

Practice address

1400 Locust St
Pittsburgh, PA 15219-5114

Phone

(412) 937-8887

Fax

(412) 937-9221

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Stacey M Lang

Title

Coo

Phone

(412) 232-7545

Specialties & licenses 3

Addresses

Other identifiers 10

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1306935143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 ANDERSEN DRIVE",
            "address_2": "MED 3000 ATTN SCOTT MADDEN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202759",
            "telephone_number": "412-937-8887",
            "fax_number": "412-937-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-937-8887",
            "fax_number": "412-937-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "412-232-7545"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLANS",
            "identifier": "1551082",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15821240088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BSPA",
            "identifier": "1800680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20047086",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "422294",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "498760",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000176465",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "422297",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "422297",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4486",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Living Home and Staffing
• Mercy Neurosurgery Group
• Mercy Physician Group
• Mercy Primary Care
• Mercy Primary Care
• Mercy Primary Care Inc.
• Mercy Primary Care Inc.
• Mercy Primary Care Inc.
• Mercy Primary Care, Inc
• Mercy Primary Care, Inc

• Internal Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.