Organization Active NPI

Allegheny Clinic

  • Neurological Surgery Physician
  • Clairton, PA
National Provider Identifier
1457787434
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on May 12, 2017

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1007317140414MedicaidPA

Other names 1

  • Aguilar Neurosurgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000602 PA Part B Supplier - Clinic/Group Practice 5395649586 Receives reassigned benefits from 3,418 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.