Organization Active NPI

C.Charles Iannuzzi,M.D.,PC

  • General Practice Physician
  • Pittsburgh, PA
National Provider Identifier
1568798957
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000651568 0002MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.