Individual provider Active NPI

Jessica Burney Dwyer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pittsburgh, PA
National Provider Identifier
1740647072
Registry record updated Jan 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD453315 Issued in PA
Practice address
1520 Penn Ave
Pittsburgh, PA 15222-4313
Phone
(412) 350-4800
NPI assigned
Jan 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD453315 PA Primary

Addresses

Primary practice location

1520 Penn Ave
Pittsburgh, PA 15222-4313

Mailing address

20 Love PL
Pittsburgh, PA 15218-1444
Phone (412) 371-3859

Other names 1

  • Jessica Gray Burney Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD453315PAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452988800000",
    "number": "1740647072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LOVE PL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181444",
            "telephone_number": "412-371-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152224313",
            "telephone_number": "412-350-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JESSICA",
        "middle_name": "BURNEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-17",
        "last_updated": "2016-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD453315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BURNEY",
            "middle_name": "GRAY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 17, 2016; 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.