Organization Active NPI

Connected Health Medical Services LLC

  • Internal Medicine Physician
  • Wexford, PA
National Provider Identifier
1609209022
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047727L Issued in PA
Legal business name
CONNECTED HEALTH MEDICAL SERVICES LLC
Practice address
12620 Perry Hwy
Wexford, PA 15090-8662
Phone
(412) 913-1840
Fax
(724) 933-4301
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Betty Sue Rich
Title
Ceo
Phone
(724) 933-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD047727L PA Primary

Addresses

Primary practice location

12620 Perry Hwy
Wexford, PA 15090-8662

Mailing address

12620 Perry Hwy
Wexford, PA 15090-8662
Phone (412) 913-1840

Other names 1

  • Connected Health Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1609209022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908662",
            "telephone_number": "412-913-1840",
            "fax_number": "412-799-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908662",
            "telephone_number": "412-913-1840",
            "fax_number": "724-933-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED HEALTH MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-933-4320"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD047727L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connected Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Connected Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.