Active NPI
C.Charles Iannuzzi,M.D.,PC
- General Practice Physician
- Pittsburgh, PA
National Provider Identifier
1568798957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- C.CHARLES IANNUZZI,M.D.,PC
- Practice address
- 2115 Noble St
Pittsburgh, PA 15218-2513 - Phone
- (412) 351-5313
- NPI assigned
- Oct 20, 2009
- Last updated
- Oct 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. C. Charles Iannuzzi, M.D.
- Title
- President
- Phone
- (412) 531-5759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
2115 Noble St
Pittsburgh, PA 15218-2513
Mailing address
764 Scrubgrass Rd
Pittsburgh, PA 15243-1124
Phone (412) 531-5759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000651568 0002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
2115 Noble St
Pittsburgh, PA 15218
Phone (412) 351-5313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Concord, MA
- NPI 1184796542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255996800000",
"number": "1568798957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 SCRUBGRASS RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431124",
"telephone_number": "412-531-5759",
"fax_number": "412-571-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 NOBLE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152182513",
"telephone_number": "412-351-5313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C.CHARLES IANNUZZI,M.D.,PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A",
"authorized_official_last_name": "IANNUZZI",
"authorized_official_first_name": "C.",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-531-5759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000651568 0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.