Organization Active NPI

Greentree Medical Center Urgent Care

  • Urgent Care Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1790447258
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GREENTREE MEDICAL CENTER URGENT CARE
Practice address
995 Greentree Rd
Pittsburgh, PA 15220-3242
Phone
(412) 920-1700
Fax
(412) 920-4700
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Candace L Konkus
Title
Credentialing Manager
Phone
(724) 883-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

995 Greentree Rd
Pittsburgh, PA 15220-3242

Mailing address

995 Greentree Rd
Pittsburgh, PA 15220-3242
Phone (412) 920-1700

Other identifiers 1

IdentifierTypeStateIssuer
1027508530003MedicaidPA

Other names 1

  • GREENTREE MEDICAL CENTER PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greentree Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1790447258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203242",
            "telephone_number": "412-920-1700",
            "fax_number": "412-920-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203242",
            "telephone_number": "412-920-1700",
            "fax_number": "412-920-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE MEDICAL CENTER URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "KONKUS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "724-883-2223"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027508530003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENTREE MEDICAL CENTER PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2021; 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.