Organization Active NPI

Allegheny Clinic

Doing business as Arnold Family Practice

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1801222948
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLEGHENY CLINIC
Doing business as
Arnold Family Practice
Practice address
2400 Ardmore Blvd
Suite 301
Pittsburgh, PA 15221-5299
Phone
(412) 351-6090
Fax
(412) 351-6960
NPI assigned
Sep 20, 2013
Last updated
Apr 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Cecili R Jones
Title
Analyst
Phone
(412) 330-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2400 Ardmore Blvd
Suite 301
Pittsburgh, PA 15221-5299

Mailing address

2400 Ardmore Blvd
Suite 301
Pittsburgh, PA 15221-5299
Phone (412) 351-6090

Other identifiers 1

IdentifierTypeStateIssuer
100731714MedicaidPA

Other names 1

  • Arnold Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000602 PA Part B Supplier - Clinic/Group Practice 5395649586 Receives reassigned benefits from 3,418 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

2400 Ardmore Blvd
Ste 301
Pittsburgh, PA 15221
Phone (412) 351-6090

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1801222948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ARDMORE BLVD",
            "address_2": "SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152215299",
            "telephone_number": "412-351-6090",
            "fax_number": "412-351-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ARDMORE BLVD",
            "address_2": "SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152215299",
            "telephone_number": "412-351-6090",
            "fax_number": "412-351-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CECILI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ANALYST",
        "authorized_official_telephone_number": "412-330-4813"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100731714",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnold Family Practice",
            "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 Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.