Active NPI
Jullie W Pan, MD, PHD
- Neurology Physician
- Pittsburgh, PA
National Provider Identifier
1467650788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 447839
- Practice address
- 3471 5TH Ave Ste 811
University of Pittsburgh
Pittsburgh, PA 15213-3232 - Phone
- (412) 692-4920
- Fax
- (412) 692-4907
- NPI assigned
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 044741 | CT | |
| Neurology Physician | 2084N0400X | 213314 | NY | |
| Neurology Physician | 2084N0400X | 447839 | PA | Primary |
Addresses
Primary practice location
3471 5TH Ave Ste 811
University of Pittsburgh
Pittsburgh, PA 15213-3232
Mailing address
3471 5TH Ave Ste 811
University of Pittsburgh
Pittsburgh, PA 15213-3232
Phone (412) 692-4920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213314 | NY | MD | Neurology Physician |
| 447839 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1467650788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 5TH AVE STE 811",
"address_2": "UNIVERSITY OF PITTSBURGH",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133232",
"telephone_number": "412-692-4920",
"fax_number": "412-692-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 5TH AVE STE 811",
"address_2": "UNIVERSITY OF PITTSBURGH",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133232",
"telephone_number": "412-692-4920",
"fax_number": "412-692-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "JULLIE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-09",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "044741",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "213314",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "447839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.