Individual provider Active NPI

Kathy A McNutt, DO

  • Family Medicine Physician
  • Franklin, PA
National Provider Identifier
1851379556
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012230 Issued in PA
Practice address
464 Allegheny Blvd
Pennwood Center Suite 2D
Franklin, PA 16323-6210
Phone
(814) 437-6793
Fax
(814) 437-6797
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012230 PA Primary

Addresses

Primary practice location

464 Allegheny Blvd
Pennwood Center Suite 2D
Franklin, PA 16323-6210

Mailing address

2 Hot Metal St
Quantum One Suite 001
Pittsburgh, PA 15203-2348
Phone (412) 432-5869

Other identifiers 1

IdentifierTypeStateIssuer
1011261620002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000382 PA Practitioner - Family Practice 1557325669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS012230PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients

Locations

464 Allegheny Blvd
Ste 2D
Franklin, PA 16323
Phone (814) 432-2145

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

400 W Butler St
Mercer, PA 16137
Phone (724) 458-8750

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1851379556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE SUITE 001",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-5869",
            "fax_number": "412-432-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 ALLEGHENY BLVD",
            "address_2": "PENNWOOD CENTER SUITE 2D",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163236210",
            "telephone_number": "814-437-6793",
            "fax_number": "814-437-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011261620002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

Verify at the official NPI Registry.