Allegheny Clinic
Organization Active NPI Internal Medicine Physician · Tarentum, PA
NPI 1902232044 · NPPES record last updated Apr 8, 2014
Key facts
- NPI
- 1902232044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALLEGHENY CLINIC
- Practice address
- 320 E 3Rd Ave
Tarentum, PA 15084-1840 - Phone
- (724) 224-0700
- Fax
- (724) 224-0823
- NPI assigned
- Sep 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Cindy Waltemire
- Title
- Managed Care Specialist
- Phone
- (412) 330-5523
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000602 | PA | Part B Supplier - Clinic/Group Practice | 5395649586 |
Receives reassigned benefits from 3,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
320 E 3Rd Ave
Tarentum, PA 15084-1840
Mailing address
320 E 3Rd Ave
Tarentum, PA 15084-1840
Phone (724) 224-0700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100731714 | Medicaid | PA |
Other names
- Associates in Internal Medicine
Other providers in Tarentum, PA
- 365 Home Care, Inc.
- Above and Beyond Home Care,LLC
- Act II Wellness LLC
- Act II Wellness LLC
- Lisa Adams
- Allegheny Medical Practice Network
- Allegheny Medical Practice Network
- Associates in Internal Medicine
- Jeannie Baker-Piccini
- Brittany Baldwin
All providers in Tarentum, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.