NPIMap

Organization Active NPI

Allegheny Clinic

  • Family Medicine Physician
  • Oakmont, PA
National Provider Identifier
1346893369
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLEGHENY CLINIC
Practice address
222 Allegheny River Blvd
Oakmont, PA 15139-1848
Phone
(412) 767-5387
Fax
(412) 828-5387
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Cindy Waltemire
Title
Enrollment Specialist
Phone
(412) 330-5864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

222 Allegheny River Blvd
Oakmont, PA 15139-1848

Mailing address

222 Allegheny River Blvd
Oakmont, PA 15139-1848
Phone (412) 767-5387

Other names 1

  • AHN Deer Lakes Primary Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

333 Allegheny Ave
Oakmont, PA 15139
Phone (412) 400-0606

222 Allegheny River Blvd
Oakmont, PA 15139
Phone (412) 767-5387

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1346893369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ALLEGHENY RIVER BLVD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391848",
            "telephone_number": "412-767-5387",
            "fax_number": "412-828-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALLEGHENY RIVER BLVD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391848",
            "telephone_number": "412-767-5387",
            "fax_number": "412-828-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "412-330-5864"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.ahn.org",
            "affiliation": "N",
            "address_1": "222 Allegheny River Blvd",
            "city": "Oakmont",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151391848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AHN Deer Lakes Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHN Deer Lakes Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.

Verify at the official NPI Registry.