Allegheny Clinic
Organization Active NPI Obstetrics & Gynecology Physician · Pittsburgh, PA
NPI 1356777908 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1356777908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 4815 Liberty Ave Ste GR25
Pittsburgh, PA 15224-2156 - Phone
- (855) 281-4963
- Fax
- (412) 605-6343
- NPI assigned
- Sep 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Denise Noel
- Title
- Director Provider Enrollment
- Phone
- (412) 330-5861
Corporate family (same tax ID) 24
Practitioners 16
-
Daniel Bubenheim, MD
-
Victoria Dunaevsky, M.D.
-
Dominick Francis Goldbach, PT, DPT
-
Constantine Hnaras, MPT
-
Lily Hoffman, PA-C
-
Emily Dawn Kimball, WHNP-BC
-
Kurt W. King, M.D.
-
Amy L Miller, CRNP
-
Dina Kathleen Myers, D.O.
-
Elizabeth L Olayer, PA-C
-
Meera Babu, MD
-
Casey L Cabrinha, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Agh Radiation Oncology
Locations
6998 Crider Rd
Ste 120
Mars, PA 16046
Phone (724) 742-3820
4000 Waterdam Plaza Dr
McMurray, PA 15317
Phone (724) 941-1650
4000 Waterdam Plaza Dr
Ste 180
McMurray, PA 15317
Phone (724) 941-1866
2605 Nicholson Rd
Ste 3100
Sewickley, PA 15143
2605 Nicholson Rd
Sewickley, PA 15143
Phone (724) 933-6222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | PA | Yes |
Addresses
Primary practice location
4815 Liberty Ave Ste GR25
Pittsburgh, PA 15224-2156
Mailing address
4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100131714 | Medicaid | PA |
Other names
- Seasons OBGYN
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.ahn.org |
Other providers in Pittsburgh, PA
- Allegheny Clinic
- Allegheny Clinic
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- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
All providers in Pittsburgh, PA · Obstetrics & Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.