Individual provider Active NPI

Paige M Proksa, PA-C

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1871548396
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA003442L Issued in PA
Practice address
5820 Centre Ave
Pittsburgh, PA 15206-3710
Phone
(412) 661-5500
Fax
(412) 661-4760
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA003442L PA Primary

Addresses

Primary practice location

5820 Centre Ave
Pittsburgh, PA 15206-3710

Mailing address

5820 Centre Avenue
Pittsburgh, PA 15206
Phone (412) 661-5500

Other identifiers 1

IdentifierTypeStateIssuer
MA003442LOtherPAMEDICAL LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000182 PA Practitioner - Physician Assistant 5496883985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Pittsburgh Orthopaedic Associates IncGroup PAC ID 0446157556, 40 clinicians

Practice addresses (Care Compare)

5820 Centre Ave
Pittsburgh, PA 15206-3710
Phone (412) 661-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003442LPAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pittsburgh Orthopaedic Associates Inc CurrentSince Sep 22, 2000 Accepting new patients
Greater Pittsburgh Orthopaedic Associates, Inc. CurrentSince Sep 22, 2000 Accepting new patients

Locations

5820 Centre Ave
#M
Pittsburgh, PA 15206

5820 Centre Ave
Pittsburgh, PA 15206
Phone (412) 661-6484

Organizations & group practices 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1871548396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKSA",
        "first_name": "PAIGE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003442L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA003442L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.