Organization Active NPI

Allegheny Medical Practice Network

Doing business as Canonsburg Community Healthcare Center

  • Family Medicine Physician
  • Canonsburg, PA
National Provider Identifier
1811962749
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLEGHENY MEDICAL PRACTICE NETWORK
Doing business as
Canonsburg Community Healthcare Center
Practice address
36 E Pike St
Canonsburg, PA 15317-1312
Phone
(412) 330-5523
Fax
(412) 330-5522
NPI assigned
Feb 22, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Cindy Waltemire
Title
Managed Care Specialist
Phone
(412) 330-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

36 E Pike St
Canonsburg, PA 15317-1312

Mailing address

36 E Pike St
Canonsburg, PA 15317-1312
Phone (412) 330-5523

Other identifiers 1

IdentifierTypeStateIssuer
0017600750028MedicaidPA

Other names 1

  • Canonsburg Community Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1811962749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171312",
            "telephone_number": "412-330-5523",
            "fax_number": "412-330-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171312",
            "telephone_number": "412-330-5523",
            "fax_number": "412-330-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY MEDICAL PRACTICE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-5523"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017600750028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canonsburg Community Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.