Individual provider Active NPI

Dori Charlson, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1629084405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0614611 Issued in PA
Practice address
2 Hot Metal St
Quantum One 2ND Floor
Pittsburgh, PA 15203-2348
Phone
(412) 432-7424
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0614611 PA Primary

Addresses

Primary practice location

2 Hot Metal St
Quantum One 2ND Floor
Pittsburgh, PA 15203-2348

Mailing address

2 Hot Metal St
Quantum One 2ND Floor
Pittsburgh, PA 15203-2348
Phone (412) 432-7424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000071 PA Practitioner - Emergency Medicine 8921003856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0614611PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 1, 2012 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629084405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE 2ND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE 2ND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLSON",
        "first_name": "DORI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD0614611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.