Interim Healthcare Palliative Care of the Midwest, Inc

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

INTERIM HEALTHCARE PALLIATIVE CARE OF THE MIDWEST, INC

Practice address

1789 S Braddock Ave Ste 340
Pittsburgh, PA 15218-1889

Phone

(412) 436-2200

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Thomas J Dimarco

Title

Ceo

Phone

(614) 436-9404

Specialties & licenses 11

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Interim Healthcare Palliative Care of the Midwest, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • New Albany, IN
  • NPI 1518549963

  4688085301

  Same PAC ID
• Interim Healthcare Palliative Care of the Midwest, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Worthington, OH
  • NPI 1851911440

  4688085301

  Same PAC ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Breisinger, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1144750498

  PA

  Medicare reassignment
• Courtney Gilberg

  • Nurse Practitioner
  • Lima, OH
  • NPI 1295443364
  Care Compare group
• Tiffany Herron, CNP

  • General Practice Registered Nurse
  • Wapakoneta, OH
  • NPI 1093553323
  Care Compare group
• Alicia Tembo, FNP-C

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1326826512
  Care Compare group
• Rebekka Nikkole Lindamood, FNP-BC

  • Family Nurse Practitioner
  • Washington, PA
  • NPI 1447912134

  Family

  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1497345508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WILSON BRIDGE RD STE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852289",
            "telephone_number": "614-436-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 340",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181889",
            "telephone_number": "412-436-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2633 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165054034",
            "country_code": "US",
            "telephone_number": "814-836-0214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Warren St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159053443",
            "country_code": "US",
            "telephone_number": "814-262-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE PALLIATIVE CARE OF THE MIDWEST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-436-9404"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intercare Health Systems, LTD, Dba Intercare Psychiatric Services
• Intercare Health Systems,LTD, Dba Intercare Psychiatric Services
• Interim Healthcare Hospice of Western Pennsylvania, Inc.
• Interim Healthcare of Pittsburgh, Inc.
• Interim Healthcare of Pittsburgh, Inc.
• Camille Joi Interligi, PSY.D.
• Internal Medicine
• Internal Medicine/Richard Gobao, M.D./L.L.C
• Interpace Diagnostics Corporation
• Ashley Marie Interrante, ATC, PES, CSS, NREMT

• All providers in Pittsburgh, PA
• Hospice and Palliative Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.