NPIMap

Organization Active NPI

Fort Pitt Senior Health Care Associates, P.C.

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1871682146
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD038722E Issued in PA
Legal business name
FORT PITT SENIOR HEALTH CARE ASSOCIATES, P.C.
Practice address
1350 Locust St
Suite G102
Pittsburgh, PA 15219-4738
Phone
(412) 232-8494
Fax
(412) 232-8727
NPI assigned
Oct 12, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. John Michael Prendergast, M.D., M.P.H.NPI 1437119757
Title
Physician
Phone
(412) 232-8494

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU
Specialist 174400000X MD038722E PA Primary

Addresses

Primary practice location

1350 Locust St
Suite G102
Pittsburgh, PA 15219-4738

Mailing address

1350 Locust St
Suite G102
Pittsburgh, PA 15219-4738
Phone (412) 232-8494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000517 PA Part B Supplier - Clinic/Group Practice 9032119201 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1350 Locust St
Ste G102
Pittsburgh, PA 15219
Phone (412) 232-5539

1910 Cochran Rd
Ste 525
Pittsburgh, PA 15220
Phone (412) 232-8494

2101 Greentree Rd
Ste A1055
Pittsburgh, PA 15220
Phone (412) 232-8494

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1871682146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST",
            "address_2": "SUITE G102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-8494",
            "fax_number": "412-232-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST",
            "address_2": "SUITE G102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-8494",
            "fax_number": "412-232-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PITT SENIOR HEALTH CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "412-232-8494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038722E",
            "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 Sep 13, 2011; 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.