Center for Emergency Medicine of Western Pennsylvania

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

03085 Issued in PA

Legal business name

CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA

Doing business as

STAT MedEvac

Practice address

10 Allegheny County Airport
West Mifflin, PA 15122-2673

Phone

(412) 432-5007

Fax

(412) 864-0197

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Frank Goodman

Title

Cfo

Phone

(412) 432-5007

Specialties & licenses 4

Addresses

Other identifiers 15

Other names 1

• STAT MedEvac Doing business as

Medicare fee-for-service enrollment

Enrolled in NY, MD, OH, PA4 enrollments

Enrollment records 4

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

CLIA laboratory certificates

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

• Upmc Altoona

  dba Women's Health and Wellness

  • Non-Surgical Family Planning Clinic/Center
  • Altoona, PA
  • NPI 1457303885

  Member Of

  NPD member
• Upmc Children's Hospital of Pittsburgh

  dba UPMC Children's Hospital of Pittsburgh North

  • Ambulatory Surgical Clinic/Center
  • Sewickley, PA
  • NPI 1194889485

  Member Of

  NPD member
• Upmc Mercy

  • Rehabilitation Hospital Unit
  • Pittsburgh, PA
  • NPI 1639143084

  Member Of

  NPD member
• Upmc Presbyterian Shadyside

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pittsburgh, PA
  • NPI 1053471656

  Member Of

  NPD member
• West Penn Allegheny Health System Inc.

  dba Allegheny General Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1912029265

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Ambulance and Chair EMS, Inc

  • Land Ambulance
  • Washington, PA
  • NPI 1154303212

  Member Of

  NPD member

Locations (25 of 32)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1700831401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM 1 - 3RD FLOOR, ROOM 376",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-5007",
            "fax_number": "412-864-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALLEGHENY COUNTY AIRPORT",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222673",
            "telephone_number": "412-432-5007",
            "fax_number": "412-864-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212245813",
            "country_code": "US",
            "telephone_number": "412-432-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-432-5007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03085",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "PA",
            "license": "03085",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NY",
            "license": "10774",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196339 00",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700831401",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100006540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012088",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184710550",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001746",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872540",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0677996",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421498600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582437",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTA GBA MEDICARE",
            "identifier": "590008485",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134147",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010996990004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009020381",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146055000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT MedEvac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Bryce, PT
• Maryann Campbell, LMT
• Bree Capezzuto
• Jennifer Antoinette Carraway, PHARMD
• Alexa Bailey Casanova
• Sidra Chavla
• Justin-James Chan Chua, MD
• Lisa M Cibik, M.D.
• CJ Systems Aviation Group, Inc
• Holly Jo Coccia, FNP-C

• Air Ambulance in West Mifflin, PA
• Providers in West Mifflin, PA by specialty
• Air Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.