Ahn Observation Group LLC
Organization Active NPI Emergency Medicine Physician · Jefferson Hills, PA
NPI 1437814696 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1437814696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- AHN OBSERVATION GROUP LLC
- Practice address
- 565 Coal Valley Rd
Jefferson Hills, PA 15025-3703 - Phone
- (844) 474-4019
- NPI assigned
- Nov 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Dominic Bagnoli Jr Jr.
- Title
- Executive Chairman
- Phone
- (330) 994-4409
Practitioners 227
-
Amanda Marie Baldwin, CRNP
-
Jason E Bradley, NP
-
Melissa Ann Doughty, AGACNP
-
Marlaina Eldred, CRNP
-
Le Mimi Kern, CRNP
-
Irina C Pritchard, CRNP
-
Amberlyn Pucel, CRNP
-
Valerie Sadlowski, CRNP
-
Belinda Lee Sapanara, CRNP
-
Jillian Nicole Williams, CRNP
-
Leah Briston, PA-C
-
Rachael Marie Cobo, PA-C
-
Tyler E Conley, PA-C
-
Elizabeth Ann Heaton, PA-C
-
Melanie Michele Jordan, PA-C
-
Kang Li, PA-C
-
Kendra Leigh Meyer, PAC
-
Wei Qian, PA-C
-
Becky M Sederwall, PA-C
-
Lexi Ann Serpa, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220118001466 | PA | Part B Supplier - Clinic/Group Practice | 1557753811 |
Receives reassigned benefits from 227 practitioners Practice locations: Jefferson Hills, PA; Monroeville, PA; Wexford, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (844) 474-4019
Other providers in Jefferson Hills, PA
- Abiola Adebola Adebayo
- Advance Cardiology, PC
- Aeg Pennsylvania Professional Inc
- Patience Ngozi Agbodzie
- Ahn Emergency Group of Jefferson LTD
- Melissa Carrie Albert
- Susan Albrecht
- Juliann Alfera
- Allegheny Clinic
- Allegheny Clinic Pediatrics
All providers in Jefferson Hills, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.