Individual provider Active NPI

Edward V Prochownik, MD

  • Pediatric Hematology & Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1720053275
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
MD046934L Issued in PA
Practice address
3705 5TH Ave
Room 4B385
Pittsburgh, PA 15213-2524
Phone
(412) 692-5055
NPI assigned
Feb 20, 2006
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD046934L PA
Pediatric Hematology & Oncology Physician 2080P0207X MD046934L PA Primary

Addresses

Primary practice location

3705 5TH Ave
Room 4B385
Pittsburgh, PA 15213-2524

Mailing address

3705 5TH Ave
Room 4B385
Pittsburgh, PA 15213-2524
Phone (412) 692-5055

Other identifiers 1

IdentifierTypeStateIssuer
001951498MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD046934LPAMDPediatric Hematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1720053275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 5TH AVE",
            "address_2": "ROOM 4B385",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132524",
            "telephone_number": "412-692-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 5TH AVE",
            "address_2": "ROOM 4B385",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132524",
            "telephone_number": "412-692-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHOWNIK",
        "first_name": "EDWARD",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD046934L",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PA",
            "license": "MD046934L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001951498",
            "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 Mar 27, 2013; 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.