Edwin Komm, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA050759 Issued in PA

Practice address

2550 Mosside Blvd
Suite 405
Monroeville, PA 15146-3540

Phone

(412) 373-1626

Fax

(412) 373-2406

NPI assigned

Jul 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467485011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PIONEER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292129",
            "telephone_number": "412-732-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 405",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-373-1626",
            "fax_number": "412-373-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMM",
        "first_name": "EDWIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Koehring, PHARMD
• Pamela Hucko Koerner, RPH, PHARMD
• Arwind G Koimattur, MD
• Andrea Kolano, M.S. CCC-SLP
• Nicholas John Kolano, PHARMD
• Michele Leigh Kondas, COTA/L
• Karolina Kosinska, CRNA
• Tiffany Sue Koss, CRNP
• Donna Lynne Kossow, MS, RD, LDN, CDE
• Sarah Kostuch

• Physician Assistant in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.