Lifeline Centers, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LIFELINE CENTERS, PC

Practice address

125 Warrendale Bayne Rd
Suite 300
Warrendale, PA 15086-7570

Phone

(412) 351-6545

Fax

(412) 273-1958

NPI assigned

Dec 2, 2009

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Kegg

Title

President/Ceo

Phone

(412) 351-6545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lifeline Centers PC

  • Specialist
  • New Castle, PA
  • NPI 1114508181

  O20070731000404

  Same enrollment
• Lifeline Centers PC

  • Sleep Disorder Diagnostic Clinic/Center
  • Pittsburgh, PA
  • NPI 1700800331

  O20070731000404

  Same enrollment
• Lifeline Centers, PC

  • Specialist
  • Washington, PA
  • NPI 1073842951

  O20070731000404

  Same enrollment
• Lifeline Centers, PC

  • Specialist
  • Monroeville, PA
  • NPI 1285963967

  O20070731000404

  Same enrollment

Tax ID family

Lifeline Centers PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeline Centers PC

  • Specialist
  • New Castle, PA
  • NPI 1114508181
  NPD tax ID
• Lifeline Centers, PC

  • Specialist
  • Washington, PA
  • NPI 1073842951
  NPD tax ID
• Lifeline Centers, PC

  • Specialist
  • Monroeville, PA
  • NPI 1285963967
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Wintrode Carlin, MD

  • Pulmonary Disease Physician
  • Pittsburgh, PA
  • NPI 1285695114
  NPD
• Euhan John Lee, M.D.

  • Pulmonary Disease Physician
  • Monongahela, PA
  • NPI 1053524991
  NPD

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1770811762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PARK MANOR BLVD STE 308",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054805",
            "telephone_number": "412-351-6545",
            "fax_number": "412-351-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WARRENDALE BAYNE RD",
            "address_2": "SUITE 300",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867570",
            "telephone_number": "412-351-6545",
            "fax_number": "412-273-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KEGG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-351-6545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Richard Koleno, PHARMD.
• Terrance Raymond Krysinski, M.D.
• Stacey Lynn Lantz, RPH
• Shannon Lenner
• Joel Leonberg, PHARMD
• Lifeline Therapy Warrendale, LLC (Lifeline Therapy Warrendale)
• Karen Longo, RPH
• Megan Lord-Deriggi, CRNP
• Ashley Lynn-Marie Lovell, LCSW
• Macisaac Family Medicine

• Specialist in Warrendale, PA
• Providers in Warrendale, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.