Pediatric Alliance, P.C Chartiers Division

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD061104L Issued in PA

Legal business name

PEDIATRIC ALLIANCE, P.C CHARTIERS DIVISION

Practice address

1370 Washington Pike
Suite 107
Bridgeville, PA 15017-2862

Phone

(412) 221-0160

Fax

(412) 221-0858

NPI assigned

Sep 23, 2010

Organization subpart

Yes

Parent organization

PEDIATRIC ALLIANCE, P.C.As reported in NPPES

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

Authorized official

Name

Lisa Cerra I, RN, BSN

Title

Director of Clinical Operations

Phone

(412) 278-5100

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Alliance PC3 organizations share this tax ID, including this one

Part of

Pediatric Alliance PC

Other organizations with this tax ID 2

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

• Pediatric Alliance, PC

  • Pediatrics Physician
  • Carnegie, PA
  • NPI 1457388894
  NPD tax ID
• Pediatric Alliance, St. Clair Division

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1013220094
  NPD tax ID

Locations

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1487962528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE",
            "address_2": "SUITE 210",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063614",
            "telephone_number": "412-278-5100",
            "fax_number": "412-278-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE",
            "address_2": "SUITE 107",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172862",
            "telephone_number": "412-221-0160",
            "fax_number": "412-221-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ALLIANCE, P.C CHARTIERS DIVISION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC ALLIANCE, P.C.",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "CERRA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "412-278-5100",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD061104L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Pawlowski, M.ED., BCBA, LBS
• Devon Pazmino, PHARMD
• Peace of Mind Psychiatry LLC
• Pearl Dentistry of Bridgeville, PLLC
• Adrien Leigh Pederson, OTR
• Pediatric Therapy Source
• Megan Pellett
• Penn Wellness Group P.C.
• Pennsylvania CVS Pharmacy L L C
• Pennsylvania Department of Public Welfare

• All providers in Bridgeville, PA
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.