Active NPI
Provita Medical Services, P.C.
- Anesthesiology Physician
- Cranberry Township, PA
National Provider Identifier
1790719995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS-003846-L
- Legal business name
- PROVITA MEDICAL SERVICES, P.C.
- Practice address
- 105 Brandt Dr
Suite 101
Cranberry Township, PA 16066-6437 - Phone
- (724) 772-1766
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Levri, D.O.
- Title
- President
- Phone
- (724) 294-3121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS-003846-L | PA | Primary |
Addresses
Primary practice location
105 Brandt Dr
Suite 101
Cranberry Township, PA 16066-6437
Mailing address
260 Buffalo PLZ
PMB # 300
Sarver, PA 16055-8302
Phone (724) 294-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR255066 | Other | PA | GROUP#PA.BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
5353 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 489-9800
260 Buffalo Plz
Sarver, PA 16055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1497713606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790719995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 BUFFALO PLZ",
"address_2": "PMB # 300",
"city": "SARVER",
"state": "PA",
"postal_code": "160558302",
"telephone_number": "724-294-3121",
"fax_number": "724-294-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BRANDT DR",
"address_2": "SUITE 101",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160666437",
"telephone_number": "724-772-1766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVITA MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVRI",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-294-3121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS-003846-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP#PA.BLUE SHIELD",
"identifier": "PR255066",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.