NPIMap

Individual provider Active NPI

Maxim Daniel Hammer, MD

  • Vascular Neurology Physician
  • Bethel Park, PA
National Provider Identifier
1902879869
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
MD418979 Issued in PA
Practice address
2000 Oxford Dr Ste 405
Bethel Park, PA 15102-1841
Phone
(724) 228-4011
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD418979 PA
Vascular Neurology Physician 2084V0102X MD418979 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 405
Bethel Park, PA 15102-1841

Mailing address

1000 Bower Hill Road
Attn St Clair Hospital - Affiliate Billing
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

3471 5th Ave
Suite 810
Pittsburgh, PA 15213-3215
Phone (412) 692-4920

Other practice location 2

101 Trich Dr Ste 1
Washington, PA 15301-5989
Phone (724) 228-4011

Other practice location 3

1050 Bower Hill Rd Ste 203
Pittsburgh, PA 15243-1868
Phone (724) 228-4011

Other practice location 4

3928 Washington Rd Ste 270
Canonsburg, PA 15317-2593
Phone (724) 228-4011

Other identifiers 1

IdentifierTypeStateIssuer
001950258MedicaidPA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000739 PA Practitioner - Neurology 8628106374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

1050 Bower Hill Rd
Pittsburgh, PA 15243-1866
Phone (412) 572-6164

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD418979PAMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Oct 1, 2020 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Oct 1, 2020 Accepting new patients
Susquehanna Physician Services CurrentSince Jan 28, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Sep 26, 2019 Accepting new patients
Susquehanna Physician Services CurrentSince Jan 28, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2003 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

2000 Oxford Dr
Ste 405
Bethel Park, PA 15102
Phone (412) 942-6300

970 Franklin St
Johnstown, PA 15905
Phone (814) 248-3004

3928 Washington Rd
Ste 270
McMurray, PA 15317
Phone (412) 429-8840

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3471 5th Ave
Ste 811
Pittsburgh, PA 15213
Phone (412) 648-2022

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1050 Bower Hill Rd
Ste 101
Pittsburgh, PA 15243
Phone (412) 343-1770

3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607

1050 Bower Hill Rd
Ste 203
Pittsburgh, PA 15243
Phone (412) 443-3693

101 Trich Dr
Ste 1
Washington, PA 15301
Phone (724) 228-4011

740 High St
Ste 3002
Williamsport, PA 17701
Phone (570) 321-2820

700 High St
#P
Williamsport, PA 17701
Phone (570) 321-2619

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: mhammer@direct.excelahealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1902879869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 405",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "724-228-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3471 5th Ave",
            "address_2": "Suite 810",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133215",
            "country_code": "US",
            "telephone_number": "412-692-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Trich Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153015989",
            "country_code": "US",
            "telephone_number": "724-228-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Bower Hill Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431868",
            "country_code": "US",
            "telephone_number": "724-228-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3928 Washington Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153172593",
            "country_code": "US",
            "telephone_number": "724-228-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "MAXIM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD418979",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "PA",
            "license": "MD418979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001950258",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Dr Ste 405",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "3928 Washington Rd Ste 270",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1050 Bower Hill Rd Ste 203",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.