Organization Active NPI

Hermitage Neurology PC

  • Neurology Physician
  • Hermitage, PA
National Provider Identifier
1851329643
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HERMITAGE NEUROLOGY PC
Practice address
295 N Kerrwood Dr
Suite 103
Hermitage, PA 16148-5207
Phone
(724) 983-1015
Fax
(724) 983-1035
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Zahid Akram, MDNPI 1821071457
Title
President
Phone
(724) 983-1015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

295 N Kerrwood Dr
Suite 103
Hermitage, PA 16148-5207

Mailing address

PO Box 1118
Hermitage, PA 16148
Phone (724) 983-0840

Other identifiers 2

IdentifierTypeStateIssuer
2527260MedicaidOH
0019581760001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001095 PA Part B Supplier - Clinic/Group Practice 5193617520 Receives reassigned benefits from 2 practitioners
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

647 N Broad Street Ext
Ste 106
Grove City, PA 16127
Phone (724) 458-8460

295 N Kerrwood Dr
Ste 103
Hermitage, PA 16148
Phone (724) 983-0106

Practitioners & affiliated clinicians

Practitioners 4

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1851329643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-983-0840",
            "fax_number": "724-983-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 N KERRWOOD DR",
            "address_2": "SUITE 103",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485207",
            "telephone_number": "724-983-1015",
            "fax_number": "724-983-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "AKRAM",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-983-1015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527260",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019581760001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.