Organization Active NPI

Noble Care Primary Care Center

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1699086165
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD434099 Issued in PA
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

Updated by the provider on Jun 29, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD434099 PA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1023780930001MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.