Sewickley Valley Rheumatology LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD049189L Issued in PA

Legal business name

SEWICKLEY VALLEY RHEUMATOLOGY LLC

Practice address

1196 Merchant Street
Ambridge, PA 15003-2335

Phone

(724) 266-2447

Fax

(724) 266-2920

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geri L Bacu, MDNPI 1376582700

Title

Sole Proprietor

Phone

(724) 266-2447

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geri Lynn Bacu, MD

  • Specialist
  • Kittanning, PA
  • NPI 1376582700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679638985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 MERCHANT STREET",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032335",
            "telephone_number": "724-266-2447",
            "fax_number": "724-266-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 MERCHANT STREET",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032335",
            "telephone_number": "724-266-2447",
            "fax_number": "724-266-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWICKLEY VALLEY RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACU",
        "authorized_official_first_name": "GERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "724-266-2447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD049189L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1633767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Noelle Porter, PMHNP-DNP
• River and Root Counseling, LLC
• Alethea Athena Rivera-Molina, O.D.
• Lucinda Safran, MS
• Richard A Schollaert, M.D.
• Elizabeth Ann Shull, M.S.
• Skin Mind Health
• Jocelyn Snyder, NCC
• Rachel A Snyder, LPC
• Deborah Ann Somuk-Atsidis

• Rheumatology Physician in Ambridge, PA
• Providers in Ambridge, PA by specialty
• Rheumatology Physician in Pennsylvania

• 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.
• 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.