Pioneer Medical PA LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIONEER MEDICAL PA LLC

Practice address

132 Block Rd
Portage, PA 15946-6905

Phone

(901) 603-6113

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Jeffery Copeland, MD

Title

Owner

Phone

(901) 603-6113

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26069/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1376296525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BLOCK RD",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159466905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BLOCK RD",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159466905",
            "telephone_number": "901-603-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 7th St Ste B-3",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014703",
            "country_code": "US",
            "telephone_number": "901-603-6113",
            "fax_number": "814-736-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIONEER MEDICAL PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-603-6113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Pisarski Onusic, PHD, MS, CNS, LDN
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• Amber Marie Phillips, M.P.T.
• Phoenix Rehabilitation and Health Services, Inc.
• Portage Area Ambulance Association
• Portage Area School District
• Portage Chiropractic, P.C.
• Portage Podiatry
• Jordan Rochelle Poruban

• Family Medicine Physician in Portage, PA
• Providers in Portage, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.