Organization Active NPI

Advance Cardiology, PC

  • Cardiovascular Disease Physician
  • Jefferson Hills, PA
National Provider Identifier
1487990727
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD036728E Issued in PA
Legal business name
ADVANCE CARDIOLOGY, PC
Practice address
575 Coal Valley Rd
South Hills Medical Building- Suite 460
Jefferson Hills, PA 15025-3730
Phone
(412) 469-0600
Fax
(412) 469-1147
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Stuart G Tauberg, M.D.
Title
President
Phone
(412) 469-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD036728E PA Primary

Addresses

Primary practice location

575 Coal Valley Rd
South Hills Medical Building- Suite 460
Jefferson Hills, PA 15025-3730

Mailing address

575 Coal Valley Rd
South Hills Medical Building- Suite 460
Jefferson Hills, PA 15025-3730
Phone (412) 469-0600

Other identifiers 14

IdentifierTypeStateIssuer
45-1517044OtherPATRICARE
060016698OtherPARAILROAD MEDICARE
4244892OtherAETNA
102808OtherPAUPMC FOR YOU
61167OtherPAMEDPLUS
1258411002OtherPACIGNA
1503537OtherPAGATEWAY HEALTH PLAN
45-1517044OtherPAUNITED HEALTHCARE
0012938830012MedicaidPA
102808OtherPAUPMC HEALTH PLAN
714256OtherPAHIGHMARK BCBS
714256S6HOtherPAMEDICARE INDIVIDUAL #
102808OtherPAUPMC FOR LIFE
242497OtherPACOVENTRY HEALTHCARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1487990727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SOUTH HILLS MEDICAL BUILDING- SUITE 460",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-0600",
            "fax_number": "412-469-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SOUTH HILLS MEDICAL BUILDING- SUITE 460",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-0600",
            "fax_number": "412-469-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "TAUBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-469-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD036728E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "45-1517044",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060016698",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4244892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR YOU",
            "identifier": "102808",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "61167",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1258411002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1503537",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "45-1517044",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012938830012",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "102808",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "714256",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "714256S6H",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR LIFE",
            "identifier": "102808",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "242497",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.