MMC Physician Services Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MMC PHYSICIAN SERVICES INC

Practice address

70 Lincoln Way East Suite
Psi Clinic
Jeannette, PA 15644

Phone

(724) 527-0408

Fax

(724) 527-0487

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Michael Anton Monsour

Title

Ceo

Phone

(724) 527-0603

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physician Services Inc Former legal business name

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366478000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-864-5017",
            "fax_number": "724-864-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINCOLN WAY EAST SUITE",
            "address_2": "PSI CLINIC",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "15644",
            "telephone_number": "724-527-0408",
            "fax_number": "724-527-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-527-0603"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016515800017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Services Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mercy Jeannette Hospital
• Deborah A Milito, PHARM.D.
• Stephen Paul Miller, CRNA
• Miroya J. Monsour
• MMC Physician Services Inc
• Monsour Medical Center
• Monsour Medical Center
• Miroya J Monsour, M.D.
• Rebecca Ann Monteparte, CRNP
• David Roman Mularski, OTA-L

• General Practice Physician in Jeannette, PA
• Providers in Jeannette, PA by specialty
• General Practice Physician in Pennsylvania

• 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.