Organization Active NPI

Vincent F. Petraglia and Associates P.C.

  • Family Medicine Physician
  • MC Murray, PA
National Provider Identifier
1366429300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VINCENT F. PETRAGLIA AND ASSOCIATES P.C.
Practice address
455 Valleybrook Rd
Suite 300
MC Murray, PA 15317-3367
Phone
(724) 941-5588
Fax
(724) 941-1458
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent F Petraglia, D.O.
Title
Owner
Phone
(724) 941-5588

Specialties & licenses 1

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

Addresses

Primary practice location

455 Valleybrook Rd
Suite 300
MC Murray, PA 15317-3367

Mailing address

455 Valleybrook Rd
Suite 300
MC Murray, PA 15317-3367
Phone (724) 941-5588

Other identifiers 6

IdentifierTypeStateIssuer
1003098OtherPAGATEWAY GRP NUMBER
842BOtherPAUPMC GRP NUMBER
0245789OtherPACIGNA GRP#
4203149OtherPAAETNA GRP NUMBER
49467OtherPAUMWA GRP NUMBER
71784OtherPATHREE RIVERS/MEDPLUS GRP

National Provider Directory

National Provider Directory

Locations

455 Valley Brook Rd
McMurray, PA 15317
Phone (724) 222-1125

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366429300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 VALLEYBROOK RD",
            "address_2": "SUITE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173367",
            "telephone_number": "724-941-5588",
            "fax_number": "724-941-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 VALLEYBROOK RD",
            "address_2": "SUITE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173367",
            "telephone_number": "724-941-5588",
            "fax_number": "724-941-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT F. PETRAGLIA AND ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRAGLIA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-941-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY GRP NUMBER",
            "identifier": "1003098",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC GRP NUMBER",
            "identifier": "842B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GRP#",
            "identifier": "0245789",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GRP NUMBER",
            "identifier": "4203149",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA GRP NUMBER",
            "identifier": "49467",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS/MEDPLUS GRP",
            "identifier": "71784",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.