Individual provider Active NPI

Teri A Willochell, M.D.

  • Legal Medicine
  • Pittsburgh, PA
National Provider Identifier
1790745016
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD062233L Issued in PA
Practice address
816 Middle St
Pittsburgh, PA 15212-4915
Phone
(412) 321-4001
Fax
(412) 321-4063
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MD062233L PA Primary

Addresses

Primary practice location

816 Middle St
Pittsburgh, PA 15212-4915

Mailing address

816 Middle St
Adult Internal Medicine
Pittsburgh, PA 15212-4915
Phone (412) 321-4001

Other identifiers 1

IdentifierTypeStateIssuer
001646400MedicaidPA

Other names 1

  • Dr. Teri Willochell Eckels Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD062233LPAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients
McAuley Medical Associates Inc Legal Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1790745016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST",
            "address_2": "ADULT INTERNAL MEDICINE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124915",
            "telephone_number": "412-321-4001",
            "fax_number": "412-321-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124915",
            "telephone_number": "412-321-4001",
            "fax_number": "412-321-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOCHELL",
        "first_name": "TERI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "MD062233L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001646400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "ECKELS",
            "middle_name": "WILLOCHELL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 20, 2015; 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.