NPIMap

Organization Active NPI

South Hills Family Medicine, LLC

  • Family Medicine Physician
  • Homestead, PA
National Provider Identifier
1447200662
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH HILLS FAMILY MEDICINE, LLC
Practice address
495 Waterfront Dr E
Homestead, PA 15120-1140
Phone
(412) 833-6176
Fax
(412) 833-6421
NPI assigned
May 10, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Michael P McGongial, M.D.
Title
Head Physician
Phone
(412) 833-6176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

495 Waterfront Dr E
Homestead, PA 15120-1140

Mailing address

1000 Higbee Dr
Suite 104
Bethel Park, PA 15102-4200
Phone (412) 833-6176

Other identifiers 1

IdentifierTypeStateIssuer
001758961MedicaidPA

National Provider Directory

National Provider Directory

Locations

1000 Higbee Dr
Ste 202
Bethel Park, PA 15102

4049 Washington Rd
Mc Murray, PA 15317
Phone (910) 217-1211

275 Clairton Blvd
#200
West Mifflin, PA 15236

275 Clairton Blvd
Ste 200
West Mifflin, PA 15236

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1447200662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR",
            "address_2": "SUITE 104",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-833-6176",
            "fax_number": "412-833-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-833-6176",
            "fax_number": "412-833-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MCGONGIAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "HEAD PHYSICIAN",
        "authorized_official_telephone_number": "412-833-6176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001758961",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.