Active NPI
Gina Poerio Anderson
- Physician Assistant
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA060917
- Practice address
- 4815 Liberty Ave Ste 250-252
Pittsburgh, PA 15224-2156 - Phone
- (412) 683-7488
- Fax
- (412) 683-0560
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA060917 | PA | Primary |
Addresses
Primary practice location
4815 Liberty Ave Ste 250-252
Pittsburgh, PA 15224-2156
Mailing address
4815 Liberty Ave Ste 250-252
Pittsburgh, PA 15224-2156
Phone (412) 683-7488
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ganderson284304@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191105000383 | PA | Practitioner - Physician Assistant | 5698069946 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA060917 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients |
Locations
4815 Liberty Ave
Ste 252
Pittsburgh, PA 15224
Phone (412) 235-5830
1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777
4815 Liberty Ave
Ste 250252
Pittsburgh, PA 15224
Phone (412) 361-2005
2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650
Interoperability endpoints
- ganderson284304@direct.ahn.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Orthopaedic Surgery Physician
- Pittsburgh, PA
- NPI 1689674871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1700249265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 250-252",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-683-7488",
"fax_number": "412-683-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 250-252",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-683-7488",
"fax_number": "412-683-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "GINA",
"middle_name": "POERIO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060917",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ganderson284304@direct.ahn.org",
"affiliation": "N",
"address_1": "4815 Liberty Ave Ste 250-252",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152242156",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.