Active NPI
Lauren Gugliotti
- Physician Assistant
- Canonsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA062852 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Internal Medicine | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Internal Medicine | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
- NPI 1508853029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.