Allegheny Clinic
Organization Active NPI Internal Medicine Physician · Irwin, PA
NPI 1659707644 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1659707644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 7546 Route 30
1St Floor
Irwin, PA 15642-7528 - Phone
- (724) 765-1030
- Fax
- (724) 765-1023
- NPI assigned
- Sep 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Denise Noel
- Title
- Director Provider Enrollment
- Phone
- (412) 330-5861
Corporate family (same tax ID) 24
Practitioners 18
-
Rachel Dileo, DO
-
Amy Gramz, CNM
-
Jennifer L Hardin, PA-C
-
Kristina G. Johnson, M.D.
-
Garren Michael Iida Low, M.D.
-
Jessica Lee Meenihan, PA-C
-
Matthew Orinick, DPT
-
April Renee Pavlina, CRNP
-
Whitney Thompson, PA
-
Kristen L Yerman, PA-C
-
Tiffany Keenan, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000602 | PA | Part B Supplier - Clinic/Group Practice | 5395649586 |
Receives reassigned benefits from 3,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Agh Radiation Oncology
Locations
4 Allegheny Ctr
Fl 71
Pittsburgh, PA 15212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
7546 Route 30
1St Floor
Irwin, PA 15642-7528
Mailing address
4 Allegheny Ctr FL 71
Pittsburgh, PA 15212-5255
Phone (412) 330-5861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007317140432 | Medicaid | PA |
Other names
- Irwin Primary Care Associates
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.ahn.org |
Other providers in Irwin, PA
- Alex Berger Counseling LLC
- McKenna Alexander
- Crystal Algeri
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Medical Practice Network
- Allegheny Medical Practice Network
- Alleghney Health Clinic
- Trevor Lee Allen
- Erin Allison
All providers in Irwin, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.