Concordia Physician Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONCORDIA PHYSICIAN PRACTICE

Practice address

112 Marwood Road #5000
Cabot, PA 16023-2245

Phone

(724) 352-4448

Fax

(724) 352-4412

NPI assigned

May 15, 2015

Last updated

May 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CONCORDIA LUTHERAN MINISTRIESAs reported in NPPES

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

Authorized official

Name

Mr. Keith E Frndak

Title

Chief Executive Officer

Phone

(724) 352-1571

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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.

• Daniel Patrick McKnight, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1235581117
  Medicare reassignment Care Compare group NPD
• Marc H Oster, MD

  • Internal Medicine Physician
  • Cabot, PA
  • NPI 1508813809
  Medicare reassignment Care Compare group NPD
• Saied Andrew Sanjari, DO

  • Internal Medicine Physician
  • Cabot, PA
  • NPI 1730744053
  Medicare reassignment Care Compare group NPD
• Grant J Shevchik, MD

  • Family Medicine Physician
  • Oakmont, PA
  • NPI 1275501793
  Medicare reassignment Care Compare group NPD
• Stephanie Marie Snow, CRNP

  • Acute Care Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1689188278
  Medicare reassignment Care Compare group NPD
• Dina Cecere Dosch, DO

  • Internal Medicine Physician
  • Wexford, PA
  • NPI 1902946650
  Medicare reassignment NPD
• Terrance Shelton, CRNP

  • Nurse Practitioner
  • Butler, PA
  • NPI 1124656178
  Medicare reassignment NPD
• Nicolette C Walsh, MD

  • Family Medicine Physician
  • Erie, PA
  • NPI 1760416275
  NPD
• Benjamin L Kisslinger, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1063428852
  NPD (past)
• Halina Elizabeth Luckiewicz, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1497761399
  NPD (past)
• Elaine Rea, CRNP

  • Mental Health Counselor
  • Butler, PA
  • NPI 1982709796
  NPD (past)
• Michael M. Rowe, DO

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1700967742
  NPD (past)

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1699153247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MARWOOD ROAD #5000",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232245",
            "telephone_number": "724-352-4448",
            "fax_number": "724-352-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARWOOD ROAD #5000",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232245",
            "telephone_number": "724-352-4448",
            "fax_number": "724-352-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA PHYSICIAN PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDIA LUTHERAN MINISTRIES",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "FRNDAK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-352-1571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Bowser, OTD, OTR/L, CLWT
• Bravis Enterprises, Inc (Butler Rehabiliation Centers)
• Concordia Lutheran Health and Human Care
• Concordia Lutheran Health and Human Care
• Concordia Medical Equipment
• Concordia Telecaregivers Dba Concordia Private Care
• Concordia Visiting Nurses
• Craig Taylor, MD PC
• Cara Degrano, OTD, OTR/L
• Alexander Deyoung, D.D.S.

• Family Medicine Physician in Cabot, PA
• Providers in Cabot, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.