Active NPI
Medtech Support Services, Inc.
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
National Provider Identifier
1740459437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS009586L
- Legal business name
- MEDTECH SUPPORT SERVICES, INC.
- Practice address
- 3450 Babcock Blvd
Pittsburgh, PA 15237-2410 - Phone
- (412) 366-7301
- Fax
- (412) 630-8253
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey W Pannier
- Title
- Dir of Operations
- Phone
- (412) 366-7301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS009586L | PA | Primary |
Addresses
Primary practice location
3450 Babcock Blvd
Pittsburgh, PA 15237-2410
Mailing address
3450 Babcock Blvd
Pittsburgh, PA 15237-2410
Phone (412) 366-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345536 | Other | PA | PA BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1740459437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 BABCOCK BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152372410",
"telephone_number": "412-366-7301",
"fax_number": "412-630-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 BABCOCK BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152372410",
"telephone_number": "412-366-7301",
"fax_number": "412-630-8253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDTECH SUPPORT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "PANNIER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DIR OF OPERATIONS",
"authorized_official_telephone_number": "412-366-7301",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS009586L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "345536",
"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 Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.