Active NPI
Larry R Gitelman, ADVANCED RN PRACT
- Psychiatric/Mental Health Nurse Practitioner
- Weirton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN59184
- Practice address
- 310 American Way Ste a
Weirton, WV 26062-4083 - Phone
- (304) 797-6410
- Fax
- (304) 797-6320
- NPI assigned
- Feb 28, 2006
- Last updated
- Nov 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | VP005783L | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN59184 | WV | Primary |
Addresses
Primary practice location
310 American Way Ste a
Weirton, WV 26062-4083
Mailing address
PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7102381000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 Wilson Ave
Washington, PA 15301-3336
190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970
310 American Way
Suite a
Weirton, WV 26062-4083
Phone (304) 797-6518
3136 W St
Weirton, WV 26062-4637
Phone (304) 748-2828
3158 W St
Weirton, WV 26062-4637
95 Leonard Ave
Washington, PA 15301-3368
PO Box
Blacksville, WV 26521
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP005783L | PA | MD | Nurse Practitioner |
| APRN59184 | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Mercy Life Center Corp | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Change, Incorporated | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Washington Physician Services | Nurse Practitioner | Current | Accepting new patients |
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| Clay-Battelle Health Services Association | Current | Accepting new patients | |
| Upmc Community Medicine, Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Clay-Battelle Health Services Association | Current | Accepting new patients | |
| Mercy Life Center Corporation | Current | Accepting new patients | |
| Cognitive Medicine Practice PLLC | Current | Accepting new patients | |
| Clay-Battelle Health Services Association | Current | Accepting new patients | |
| Navdeep S Purewal PLLC | Past | Accepting new patients |
Locations
1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543
330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000
155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
130 Greene Plz
Waynesburg, PA 15370
Phone (304) 797-6410
310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410
3136 West St
Weirton, WV 26062
Phone (304) 748-2828
3158 West St
Weirton, WV 26062
Phone (304) 797-7733
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- larry.gitelman.1@12946.direct.athenahealth.com
- larry.gitelman@fmcchc.eclinicaldirectplus.com
- lgitelman642950@direct.wvuhsdirect.com
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FAMILY MEDICAL CARE Community Health Center
- Federally Qualified Health Center (FQHC)
- Weirton, WV
- NPI 1245244367
-
dba Community Health Center of NE Wetzel County
- Federally Qualified Health Center (FQHC)
- Burton, WV
- NPI 1437214509
-
dba Washington Health System Physicians Group
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
Nurse Practitioner
-
dba Mercy Behavorial Health
- Public Health or Welfare Agency
- Pittsburgh, PA
- NPI 1720075104
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
dba Clay-Battelle Community Health Center
- Federally Qualified Health Center (FQHC)
- Blacksville, WV
- NPI 1699830752
-
dba Clay-Battelle Community Health Center Dental
- Federally Qualified Health Center (FQHC)
- Blacksville, WV
- NPI 1902961980
-
dba Pittsburgh Mercy Family Health Center
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1073883161
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1215995402
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Weirton Medial Center
- General Acute Care Hospital
- Weirton, WV
- NPI 1619921947
-
- Special Hospital
- Washington, PA
- NPI 1336459452
-
- General Acute Care Hospital
- Washington, PA
- NPI 1609984889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1568438539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6230",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "304-242-7106",
"fax_number": "304-242-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 AMERICAN WAY STE A",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624083",
"telephone_number": "304-797-6410",
"fax_number": "304-797-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITELMAN",
"first_name": "LARRY",
"middle_name": "R",
"credential": "ADVANCED RN PRACT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "VP005783L",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "APRN59184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102381000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.