Active NPI
Allegheny Clinic
- Procedural Dermatology Physician
- Aspinwall, PA
National Provider Identifier
1821472812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 241 Freeport Rd
Aspinwall, PA 15215-3035 - Phone
- (412) 784-8541
- Fax
- (412) 784-8225
- NPI assigned
- Jul 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Wetzel
- Title
- Provider Credentialing Specialist
- Phone
- (412) 330-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | PA | Primary |
Addresses
Primary practice location
241 Freeport Rd
Aspinwall, PA 15215-3035
Mailing address
241 Freeport Rd
Aspinwall, PA 15215-3035
Phone (412) 784-8541
Other names 1
- AHN Fox Chapel Dermatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Pittsburgh, PA
- NPI 1588922405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437350400000",
"number": "1821472812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 FREEPORT RD",
"city": "ASPINWALL",
"state": "PA",
"postal_code": "152153035",
"telephone_number": "412-784-8541",
"fax_number": "412-784-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 FREEPORT RD",
"city": "ASPINWALL",
"state": "PA",
"postal_code": "152153035",
"telephone_number": "412-784-8541",
"fax_number": "412-784-8225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGHENY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A",
"authorized_official_last_name": "WETZEL",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "PROVIDER CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "412-330-5233"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AHN Fox Chapel Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aspinwall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.