Individual provider Active NPI

Paula S Breen, PA

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1497915557
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA000859L Issued in PA
Practice address
9104 Babcock Blvd Ste 1006
Pittsburgh, PA 15237-5818
Phone
(412) 366-6841
Fax
(412) 366-8687
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA000859L PA Primary

Addresses

Primary practice location

9104 Babcock Blvd Ste 1006
Pittsburgh, PA 15237-5818

Mailing address

9104 Babcock Blvd Ste 1006
Pittsburgh, PA 15237-5818
Phone (412) 366-6841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1497915557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD STE 1006",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-366-6841",
            "fax_number": "412-366-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD STE 1006",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-366-6841",
            "fax_number": "412-366-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "PAULA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000859L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.