Active NPI
Allegheny Clinic
- Neurological Surgery Physician
- Clairton, PA
National Provider Identifier
1457787434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 575 Coal Valley Rd Ste 260
Clairton, PA 15025-3716 - Phone
- (412) 267-6360
- Fax
- (412) 267-6361
- NPI assigned
- Sep 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice Gentile
- Title
- Provider Credentialing Specialist
- Phone
- (412) 330-5853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
575 Coal Valley Rd Ste 260
Clairton, PA 15025-3716
Mailing address
575 Coal Valley Rd Ste 260
Clairton, PA 15025-3716
Phone (412) 267-6360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007317140414 | Medicaid | PA |
Other names 1
- Aguilar Neurosurgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
575 Coal Valley Rd
Ste 260
Jefferson Hills, PA 15025
Phone (412) 267-6360
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Butler, PA
- NPI 1225254741
-
- Family Nurse Practitioner
- Pittsburgh, PA
- NPI 1649511882
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1306847884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1457787434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 COAL VALLEY RD STE 260",
"city": "CLAIRTON",
"state": "PA",
"postal_code": "150253716",
"telephone_number": "412-267-6360",
"fax_number": "412-267-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 COAL VALLEY RD STE 260",
"city": "CLAIRTON",
"state": "PA",
"postal_code": "150253716",
"telephone_number": "412-267-6360",
"fax_number": "412-267-6361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGHENY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-23",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "PROVIDER CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "412-330-5853"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007317140414",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aguilar Neurosurgery",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.