Organization Active NPI

Specialty Group Practice 1, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Clairton, PA
National Provider Identifier
1386877801
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD031414L Issued in PA
Legal business name
SPECIALTY GROUP PRACTICE 1, INC.
Practice address
575 Coal Valley Rd
Suite 365
Clairton, PA 15025-3730
Phone
(412) 469-7030
NPI assigned
Sep 1, 2009
Organization subpart
Yes
Parent organization
JEFFERSON REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Chet Phitayakorn, MD
Title
President
Phone
(412) 469-7030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X MD031414L PA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X MD038772E PA

Addresses

Primary practice location

575 Coal Valley Rd
Suite 365
Clairton, PA 15025-3730

Mailing address

575 Coal Valley Rd
Suite 365
Clairton, PA 15025-3730
Phone (412) 469-7030

Other names 1

  • Phitayakorn Associates Other name

National Provider Directory

National Provider Directory
Part of
South HLS HLTH Sys Neur

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1200 McKean Ave
Ste 102
Charleroi, PA 15022
Phone (724) 483-1340

575 Coal Valley Rd
Ste 365
Jefferson Hills, PA 15025
Phone (412) 469-7030

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1386877801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 365",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 365",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY GROUP PRACTICE 1, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON REGIONAL MEDICAL CENTER",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "PHITAYAKORN",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-469-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD031414L",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD038772E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phitayakorn Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clairton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.