NPIMap

Organization Active NPI

Allegheny Health Initiatives, LLP

  • Family Medicine Physician
  • Emporium, PA
National Provider Identifier
1669401568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3303394 Issued in PA
Legal business name
ALLEGHENY HEALTH INITIATIVES, LLP
Practice address
416 N Broad St
Emporium, PA 15834-1402
Phone
(814) 486-2202
Fax
(814) 486-0998
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Richard McKimm, D.O.NPI 1891799425
Title
Physcian Partner
Phone
(814) 486-2202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3303394 PA Primary

Addresses

Primary practice location

416 N Broad St
Emporium, PA 15834-1402

Mailing address

416 N Broad St
Emporium, PA 15834-1402
Phone (814) 486-2202

Other identifiers 4

IdentifierTypeStateIssuer
1014145420001MedicaidPA
1739663OtherPAGROUP HIGHMARK NUMBER
V0918BOtherPAGROUP UPMC NUMBER
DD8074OtherPAGROUP RAIL ROAD MEDICARE

Other names 1

  • AHI Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669401568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BROAD ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341402",
            "telephone_number": "814-486-2202",
            "fax_number": "814-486-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BROAD ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341402",
            "telephone_number": "814-486-2202",
            "fax_number": "814-486-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY HEALTH INITIATIVES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKIMM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSCIAN PARTNER",
        "authorized_official_telephone_number": "814-486-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "3303394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014145420001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HIGHMARK NUMBER",
            "identifier": "1739663",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP UPMC NUMBER",
            "identifier": "V0918B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAIL ROAD MEDICARE",
            "identifier": "DD8074",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Emporium, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.