NPIMap

Organization Active NPI

Sma Deerlakes, PC

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1487959714
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD053615L Issued in PA
Legal business name
SMA DEERLAKES, PC
Practice address
1360 Old Freeport Rd
Suite 1B
Pittsburgh, PA 15238-4102
Phone
(412) 767-5212
Fax
(412) 782-6103
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Michael E Chismer, MDNPI 1194786087
Title
President
Phone
(412) 767-5387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD053615L PA Primary

Addresses

Primary practice location

1360 Old Freeport Rd
Suite 1B
Pittsburgh, PA 15238-4102

Mailing address

1360 Old Freeport Rd
Suite 1B
Pittsburgh, PA 15238-4102
Phone (412) 767-5212

National Provider Directory

National Provider Directory
Tax ID family
Deer Lakes Medical Association4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1360 Old Freeport Rd
Ste 1B
Pittsburgh, PA 15238
Phone (412) 232-0515

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1487959714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 OLD FREEPORT RD",
            "address_2": "SUITE 1B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152384102",
            "telephone_number": "412-767-5212",
            "fax_number": "412-782-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 OLD FREEPORT RD",
            "address_2": "SUITE 1B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152384102",
            "telephone_number": "412-767-5212",
            "fax_number": "412-782-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMA DEERLAKES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "CHISMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-767-5387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD053615L",
            "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 Jan 18, 2011; 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.