Penn Primary & Specialty Care PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD033713E Issued in PA

Legal business name

PENN PRIMARY & SPECIALTY CARE PC

Practice address

6303 Route 30
Greensburg, PA 15601-6398

Phone

(724) 527-1440

Fax

(724) 527-6520

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Ragoor K Reddy, MDNPI 1336140326

Title

President

Phone

(724) 527-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Ragoor K Reddy, M.D.

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1336140326
  Medicare reassignment NPD Authorized official
• Dennis Soles, PT

  • Physical Therapist
  • Jeannette, PA
  • NPI 1245253947
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1669588976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ATHENA DR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261005",
            "telephone_number": "724-468-6869",
            "fax_number": "724-468-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 ROUTE 30",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016398",
            "telephone_number": "724-527-1440",
            "fax_number": "724-527-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN PRIMARY & SPECIALTY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAGOOR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-527-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD033713E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Pennsylvania, P.C.
• Kathleen Pehanich, LSW
• Heather Lynn Pelesky, OTR/L
• Penn Neuromuscular Diagnostics, LLC
• Penn Neuromuscular Diagnostics, LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania Physical Medicine Inc
• Krista Perez, PA-C
• Perfect Smile Dental Group PC
• Perry D. Christopher and Rhonda a. Laughlin

• Cardiovascular Disease Physician in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.