Organization Active NPI

Southwest PA Neurology, LLC

  • Neurology Physician
  • Greensburg, PA
National Provider Identifier
1851574644
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD072721L Issued in PA
Legal business name
SOUTHWEST PA NEUROLOGY, LLC
Practice address
426 Pellis Rd
Greensburg, PA 15601-4574
Phone
(724) 838-0090
Fax
(724) 838-7717
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Karuna Sree Mandava, M.D
Title
Manager
Phone
(724) 838-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD072721L PA Primary

Addresses

Primary practice location

426 Pellis Rd
Greensburg, PA 15601-4574

Mailing address

426 Pellis Rd
Greensburg, PA 15601-4574
Phone (724) 838-0090

National Provider Directory

National Provider Directory

Locations

426 Pellis Rd
Greensburg, PA 15601
Phone (724) 836-5408

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1851574644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014574",
            "telephone_number": "724-838-0090",
            "fax_number": "724-838-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014574",
            "telephone_number": "724-838-0090",
            "fax_number": "724-838-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PA NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "MANDAVA",
        "authorized_official_first_name": "KARUNA",
        "authorized_official_middle_name": "SREE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-838-0090",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD072721L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.