Active NPI
Elizabeth W Massella, MD
- Pediatrics Physician
- Burgettstown, PA
National Provider Identifier
1356322945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD045254E
- Practice address
- 560 Steubenville Pike
Burgettstown, PA 15021-8539 - Phone
- (724) 414-5020
- Fax
- (724) 414-5071
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD045254E | PA | Primary |
Addresses
Primary practice location
560 Steubenville Pike
Burgettstown, PA 15021-8539
Mailing address
560 Steubenville Pike
Burgettstown, PA 15021-8539
Phone (724) 414-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012094130004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045254E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1356322945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 STEUBENVILLE PIKE",
"city": "BURGETTSTOWN",
"state": "PA",
"postal_code": "150218539",
"telephone_number": "724-414-5020",
"fax_number": "724-414-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 STEUBENVILLE PIKE",
"city": "BURGETTSTOWN",
"state": "PA",
"postal_code": "150218539",
"telephone_number": "724-414-5020",
"fax_number": "724-414-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSELLA",
"first_name": "ELIZABETH",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD045254E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012094130004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burgettstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.