Individual provider Active NPI

Mark Lawrence Hertweck, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1831289628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA 000329L Issued in PA
Practice address
7180 Highland Dr
Pittsburgh, PA 15206-1206
Phone
(412) 365-5201
Fax
(412) 365-5225
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA 000329L PA Primary

Addresses

Primary practice location

7180 Highland Dr
Pittsburgh, PA 15206-1206

Mailing address

110 Hiawatha Dr
Glenshaw, PA 15116-3052
Phone (412) 486-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA 000329LPAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831289628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIAWATHA DR",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163052",
            "telephone_number": "412-486-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 HIGHLAND DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061206",
            "telephone_number": "412-365-5201",
            "fax_number": "412-365-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTWECK",
        "first_name": "MARK",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA 000329L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.