Individual provider Active NPI

Mark D. Athanas, PA-C, MAT, ATC, EMT

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1548253149
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053584 Issued in PA
Practice address
5820 Centre Ave
Pittsburgh, PA 15206-3710
Phone
(412) 661-5500
Fax
(412) 661-4365
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X RT002530A PA
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X MA053584 PA Primary

Addresses

Primary practice location

5820 Centre Ave
Pittsburgh, PA 15206-3710

Mailing address

5820 Centre Ave
Pittsburgh, PA 15206-3710
Phone (412) 661-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000764 PA Practitioner - Physician Assistant 5395636831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Pittsburgh Orthopaedic Associates IncGroup PAC ID 0446157556, 40 clinicians

Practice addresses (Care Compare)

1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone (412) 262-7800

5820 Centre Ave
Pittsburgh, PA 15206-3710
Phone (412) 661-5500

725 Cherrington Pkwy
Suite 200
Moon Township, PA 15108-4318
Phone (412) 262-7800

Hospital & facility affiliations

  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Emergency Medical Technician, Physician Assistant

State licenses

LicenseStateTypeSpecialty
RT002530APAMDContractor
MA053584PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pittsburgh Orthopaedic Associates Inc CurrentSince Feb 6, 2019 Accepting new patients
Greater Pittsburgh Orthopaedic Associates, Inc. CurrentSince Feb 6, 2019 Accepting new patients

Locations

5820 Centre Ave
Pittsburgh, PA 15206
Phone (412) 661-6484

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1548253149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANAS",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "PA-C, MAT, ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "PA",
            "license": "RT002530A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.