Allegheny Clinic Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA054576 Issued in PA

Legal business name

ALLEGHENY CLINIC PEDIATRICS

Practice address

1200 Brooks LN
Suite 270
Jefferson Hills, PA 15025-3747

Phone

(412) 460-8111

Fax

(412) 460-8112

NPI assigned

Aug 17, 2015

Last updated

Aug 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damian Ternullo, MD

Title

Cmo

Phone

(412) 221-2121

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Alliance Other name

Tax ID family

Ahn Pediatrics - Bower Hill Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allegheny Clinic Pediatrics

  dba AHN Pediatrics

  • Pediatrics Physician
  • Carnegie, PA
  • NPI 1326436619
  NPD tax ID

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1881060648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063614",
            "telephone_number": "412-278-5100",
            "fax_number": "412-278-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN",
            "address_2": "SUITE 270",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253747",
            "telephone_number": "412-460-8111",
            "fax_number": "412-460-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "TERNULLO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "412-221-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MA054576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ahn Observation Group LLC
• Melissa Carrie Albert, PA-C
• Susan Albrecht, PHD, CRNP, FAAN
• Juliann Alfera
• Allegheny Clinic (AHN Family Practice Associates South)
• Jordan Luke Allen, MD
• Feras Aloka, M.D.
• Steven Alsobrook
• Julie Altavilla
• Andrea N Altieri, PA-C

• Pediatrics Physician in Jefferson Hills, PA
• Providers in Jefferson Hills, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.