Organization Active NPI

Mt Lebanon Internal Medicine, PC

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1366468704
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MT LEBANON INTERNAL MEDICINE, PC
Practice address
300 Cedar Blvd
Pittsburgh, PA 15228-1155
Phone
(412) 561-1484
Fax
(412) 561-7145
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Karl E Bushman, MD
Title
Chief Operating Officer
Phone
(412) 561-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

300 Cedar Blvd
Pittsburgh, PA 15228-1155

Mailing address

300 Cedar Blvd
Pittsburgh, PA 15228-1155
Phone (412) 561-1484

National Provider Directory

National Provider Directory

Locations

300 Cedar Blvd
Pittsburgh, PA 15228
Phone (412) 561-1484

Practitioners & affiliated clinicians

Practitioners 1

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1366468704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CEDAR BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281155",
            "telephone_number": "412-561-1484",
            "fax_number": "412-561-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CEDAR BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281155",
            "telephone_number": "412-561-1484",
            "fax_number": "412-561-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT LEBANON INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "412-561-1484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.