NPIMap

Organization Active NPI

Jeannette Primary Care

  • Family Medicine Physician
  • Jeannette, PA
National Provider Identifier
1902826290
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEANNETTE PRIMARY CARE
Practice address
3000 Penny LN
Jeannette, PA 15644-4306
Phone
(724) 744-6167
Fax
(724) 527-9683
NPI assigned
Jul 20, 2006
Organization subpart
Yes
Parent organization
JEANNETTE PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Sara A Iezzu
Title
Manager
Phone
(724) 527-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3000 Penny LN
Jeannette, PA 15644-4306

Mailing address

600 Jefferson Ave
Jeannette, PA 15644-2505
Phone (724) 527-9525

National Provider Directory

National Provider Directory
Tax ID family
Jeannette Primary Care7 organizations share this tax ID, including this one
Part of
Jeannette Primary Care

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902826290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442505",
            "telephone_number": "724-527-9525",
            "fax_number": "724-527-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PENNY LN",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444306",
            "telephone_number": "724-744-6167",
            "fax_number": "724-527-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEANNETTE PRIMARY CARE",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "IEZZU",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-527-9525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.