Amy A Maddalena, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS-012399 Issued in PA

Practice address

810 Clairton Blvd
Pittsburgh, PA 15236-4567

Phone

(412) 466-5004

Fax

(412) 466-7137

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Plus Pediatrics

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1942526314
  NPD (past)
• The Childrens Institute of Pittsburgh

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1255422408
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1356388656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364567",
            "telephone_number": "412-466-5004",
            "fax_number": "412-466-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364567",
            "telephone_number": "412-466-5004",
            "fax_number": "412-466-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALENA",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS-012399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013493370008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Macurdy, MSED, LPC
• Brett Ryan Macurdy, MS, NCC
• Suneeta Madan-Khetarpal, M.D.
• Hannah Shea Madara, PHARMD
• Barbara Madaus, M ED LP
• Shivaali Maddali
• Catherine Marie Madden, D.O.
• Claire R Madden, CRNP
• Corey F Madden, PHARMD
• Erin C Madden, PA-C

• Pediatrics Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.