Individual provider Active NPI

Lauren Gugliotti

  • Physician Assistant
  • Canonsburg, PA
National Provider Identifier
1740957281
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Medical Blvd
Canonsburg, PA 15317-9762
Phone
(412) 359-3030
Fax
(412) 359-3060
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA062852 PA
Hospitalist Physician 208M00000X MA062852 PA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

100 Medical Blvd
Canonsburg, PA 15317-9762

Mailing address

4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Phone (412) 621-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220128000046 PA Practitioner - Physician Assistant 5092107847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA062852PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Internal Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Oct 23, 2021 Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Oct 23, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

122 Gallery Dr
Mc Murray, PA 15317
Phone (412) 283-0110

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4815 Liberty Ave
Ste M54
Pittsburgh, PA 15224
Phone (412) 621-1818

Interoperability endpoints

  • Direct secure messaging: lgugliotti442371@direct.ahn.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1740957281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE M54",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-1818",
            "fax_number": "412-621-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGLIOTTI",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MA062852",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MA062852",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.