Active NPI
John Randolph Norris, MD
- Pediatrics Physician
- Pittsburgh, PA
National Provider Identifier
1609897115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD062341L
- Practice address
- 651 Holiday Dr
Pittsburgh, PA 15220-2740 - Phone
- (412) 922-8490
- Fax
- (412) 921-1194
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD062341L | PA | Primary |
Addresses
Primary practice location
651 Holiday Dr
Pittsburgh, PA 15220-2740
Mailing address
651 Holiday Dr
Pittsburgh, PA 15220-2740
Phone (412) 922-8490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016501080004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062341L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1609897115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 HOLIDAY DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152202740",
"telephone_number": "412-922-8490",
"fax_number": "412-921-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 HOLIDAY DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152202740",
"telephone_number": "412-922-8490",
"fax_number": "412-921-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "JOHN",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD062341L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016501080004",
"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 Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.