Organization Active NPI

Allegheny Medical Practice Network

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1720053713
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLEGHENY MEDICAL PRACTICE NETWORK
Doing business as
Primary Care Northside
Practice address
490 E North Ave
Suite 200/203
Pittsburgh, PA 15212-4740
Phone
(412) 321-8882
Fax
(412) 321-0870
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Cindy Waltemire
Title
Managed Care Specialist
Phone
(412) 330-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

490 E North Ave
Suite 200/203
Pittsburgh, PA 15212-4740

Mailing address

490 E North Ave
Suite 200/203
Pittsburgh, PA 15212-4740
Phone (412) 321-8882

Other identifiers 1

IdentifierTypeStateIssuer
0017600750028MedicaidPA

Other names 1

  • Primary Care Northside Doing business as

National Provider Directory

National Provider Directory

Locations

490 E North Ave
Ste 200203
Pittsburgh, PA 15212
Phone (412) 321-8882

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1720053713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 200/203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-321-8882",
            "fax_number": "412-321-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 200/203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-321-8882",
            "fax_number": "412-321-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY MEDICAL PRACTICE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-5523"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017600750028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Northside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2007; 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.