Individual provider Active NPI

Renee Lynn Miskimmin, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1902901788
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD060391L Issued in PA
Practice address
11 Stanwix St
Health America/ Healthassurance
Pittsburgh, PA 15222-1312
Phone
(412) 553-7576
Fax
(412) 553-7537
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD060391L PA Primary

Addresses

Primary practice location

11 Stanwix St
Health America/ Healthassurance
Pittsburgh, PA 15222-1312

Mailing address

11 Stanwix St
Health America/ Healthassurance
Pittsburgh, PA 15222-1312
Phone (412) 553-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Health Centers Inc Past Accepting new patients
Pefha Health & Wellness Center Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902901788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STANWIX ST",
            "address_2": "HEALTH AMERICA/ HEALTHASSURANCE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221312",
            "telephone_number": "412-553-7576",
            "fax_number": "412-553-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STANWIX ST",
            "address_2": "HEALTH AMERICA/ HEALTHASSURANCE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221312",
            "telephone_number": "412-553-7576",
            "fax_number": "412-553-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKIMMIN",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD060391L",
            "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 Jul 8, 2007; 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.