Organization Active NPI

Allegheny Clinic

  • Procedural Dermatology Physician
  • Aspinwall, PA
National Provider Identifier
1821472812
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
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

Updated by the provider on Jul 20, 2015

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)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.