Active NPI
Noble Care Primary Care Center
- Internal Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1699086165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD434099
- Legal business name
- NOBLE CARE PRIMARY CARE CENTER
- Practice address
- 301 Castle Shannon Blvd.
Pittsburgh, PA 15234 - Phone
- (412) 563-7100
- Fax
- (412) 563-6915
- NPI assigned
- Jun 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kristin Michele Kinavey
- Title
- Office Manager
- Phone
- (412) 563-7100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD434099 | PA | Primary |
| Pediatrics Physician | 208000000X | MD434099 | PA |
Addresses
Primary practice location
301 Castle Shannon Blvd.
Pittsburgh, PA 15234
Mailing address
301 Castle Shannon Blvd.
Pittsburgh, PA 15234
Phone (412) 563-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023780930001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1699086165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CASTLE SHANNON BLVD.",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15234",
"telephone_number": "412-563-7100",
"fax_number": "412-563-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CASTLE SHANNON BLVD.",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15234",
"telephone_number": "412-563-7100",
"fax_number": "412-563-6915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE CARE PRIMARY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "KINAVEY",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "412-563-7100",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD434099",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "MD434099",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023780930001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.