Organization Active NPI

Allegheny Health Network Surgery Center - Bethel Park, LLC

  • Ambulatory Surgical Clinic/Center
  • Bethel Park, PA
National Provider Identifier
1821485442
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23921501 Issued in PA
Legal business name
ALLEGHENY HEALTH NETWORK SURGERY CENTER - BETHEL PARK, LLC
Practice address
990 Higbee Dr
Bethel Park, PA 15102-2989
Phone
(412) 854-7910
Fax
(412) 854-7929
NPI assigned
Apr 21, 2015
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Mr. John W Paul
Title
President &Ceo, Ahn
Phone
(412) 330-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23921501 PA Primary

Addresses

Primary practice location

990 Higbee Dr
Bethel Park, PA 15102-2989

Mailing address

990 Higbee Dr
Bethel Park, PA 15102-2989
Phone (412) 854-7910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150604001597 PA Part B Supplier - Ambulatory Surgical Center 8426379280 Practice locations: Bethel Park, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bethel Park Surgery CenterCCN 39C0001319
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2107155Allegheny HLTH NTWK Surgery Ctr Bethel Park, LLC990 Higbee Drive, Entrance C, Bethel Park, PA 15102Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

990 Higbee Dr
Bethel Park, PA 15102
Phone (412) 854-7900

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1821485442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGBEE DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022989",
            "telephone_number": "412-854-7910",
            "fax_number": "412-854-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGBEE DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022989",
            "telephone_number": "412-854-7910",
            "fax_number": "412-854-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY HEALTH NETWORK SURGERY CENTER - BETHEL PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT &CEO, AHN",
        "authorized_official_telephone_number": "412-330-2466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "23921501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.