Allegheny Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLEGHENY CLINIC

Practice address

36 E Pike St
Canonsburg, PA 15317-1312

Phone

(724) 745-9181

Fax

(724) 745-9240

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Cindy Waltemire

Title

Managed Care Specialist

Phone

(412) 330-5523

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Canonsburgh Community Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1629404751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171312",
            "telephone_number": "724-745-9181",
            "fax_number": "724-745-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171312",
            "telephone_number": "724-745-9181",
            "fax_number": "724-745-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-5523"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100731714",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canonsburgh Community Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allegheny Advanced Chiropractic LLC
• Allegheny Clinic
• Allegheny Clinic
• Allegheny Clinic
• Allegheny Clinic
• Allegheny Clinic
• Allegheny Medical Practice Network
• Allegheny Medical Practice Network
• Allegheny Medical Practice Network
• Cathleen S. Allinder, CRNA

• All providers in Canonsburg, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.