Charles L. Pucevich, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD027250E Issued in PA

Legal business name

CHARLES L. PUCEVICH, M.D.

Practice address

935 Thorn Run Rd
Coraopolis, PA 15108-2861

Phone

(412) 262-1064

Fax

(412) 262-3904

NPI assigned

Jan 5, 2007

Last updated

Jul 7, 2008By 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

Jacquie Hall

Title

Office Manager

Phone

(412) 262-1064

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Charles L Pucevich, MD

  • Rheumatology Physician
  • Coraopolis, PA
  • NPI 1942299383
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1780731133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. PUCEVICH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JACQUIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-262-1064"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD027250E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008635880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Luanne Carlson, PA-C
• Rita B Caskey, RPH
• Ronica Michelle Casterlow, COTA
• Julia Catanzarite, LCSW
• Cedar Hill Healthcare LLC (Cedar Hill Healthcare and Rehabilitation Center)
• Ashley Childers
• Denise Chisholm, OTR
• Susan Chute, PT
• Debra Ciotola
• Gail Clakeley, OTR

• Rheumatology Physician in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.