Individual provider Active NPI

Suzanne Leslie Mundy, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1700983004
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001357L Issued in PA
Practice address
7180 Highland Drive
Pittsburgh, PA 15206
Phone
(412) 365-4900
NPI assigned
Sep 20, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA001357L PA Primary

Addresses

Primary practice location

7180 Highland Drive
Pittsburgh, PA 15206

Mailing address

334 N Water St
Kittanning, PA 16201-1382
Phone (412) 398-4934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080604000574 PA Practitioner - Physician Assistant 0547330466 Reassigns benefits to 2 organizations
I20170424000703 WV Practitioner - Physician Assistant 0547330466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111

725 Yokum St
Elkins, WV 26241-3353
Phone (304) 636-3232

77 Glade Dr
Kittanning, PA 16201-7140
Phone (724) 545-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
280WVMDPhysical Therapy Assistant
MA001357LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Feb 6, 2017 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 6, 2017 Accepting new patients
Westbrook Health Services, Inc CurrentSince Mar 13, 2017 Accepting new patients
Glade Run Medical Associates CurrentSince Oct 4, 2025 Accepting new patients
Glade Run Medical Associates Inc CurrentSince Oct 4, 2025 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Nov 9, 2015 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Nov 9, 2015 Accepting new patients
Westbrook Health Services, Inc. CurrentSince Mar 13, 2017 Accepting new patients
Healthways Inc Past Accepting new patients
Emergency Medicine Associates PC Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

2121 7th St
Parkersburg, WV 26101
Phone (304) 485-1721

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1700983004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 N WATER ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162011382",
            "telephone_number": "412-398-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 HIGHLAND DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-365-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "SUZANNE",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001357L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.