Victoria Jewell-Mahler

Individual provider Active NPI Pediatrics Physician · Moon TWP, PA

NPI 1790788610 · NPPES record last updated Apr 6, 2021

Key facts

NPI
1790788610
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD424520 (PA)
Practice address
1600 Coraopolis Heights Rd
Ste E
Moon TWP, PA 15108-4316
Phone
(412) 262-2415
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD424520PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childen'S Community Care Pediatrics Current
since Apr 11, 2021
Accepting new patients
Children'S Community Care Pediatrics Past Accepting new patients
Childrens Community Pediatrics Pediatrics Past
since Apr 11, 2021
Accepting new patients

Locations

205 Millers Run Rd
Ste 300
Bridgeville, PA 15017
Phone (412) 262-2415

1600 Coraopolis Heights Rd
Moon Twp, PA 15108
Phone (412) 269-7062

1600 Coraopolis Heights Rd
Ste E
Moon Twp, PA 15108
Phone (412) 262-2415

1600 Coraopolis Heights Rd
Ste G1
Moon Twp, PA 15108
Phone (412) 269-4114

11279 Perry Hwy
Ste 105
Wexford, PA 15090
Phone (724) 934-3334

11279 Perry Hwy
Ste 450
Wexford, PA 15090

Interoperability endpoints

  • Direct secure messaging: victoria.k.jewellmahler@upmcdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD424520 PA Yes

Addresses

Primary practice location

1600 Coraopolis Heights Rd
Ste E
Moon TWP, PA 15108-4316

Mailing address

11279 Perry Hwy
Ste 450
Wexford, PA 15090-9381

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address victoria.k.jewellmahler@upmcdirect.com UPMC

Other providers in Moon TWP, PA

All providers in Moon TWP, PA · Pediatrics Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.