Organization Active NPI

Provita Medical Services, P.C.

  • Anesthesiology Physician
  • Cranberry Township, PA
National Provider Identifier
1790719995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS-003846-L Issued in PA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Levri, D.O.NPI 1497713606
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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PR255066OtherPAGROUP#PA.BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.