Individual provider Active NPI

Dina Cecere Dosch, DO

  • Internal Medicine Physician
  • Wexford, PA
National Provider Identifier
1902946650
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 012134 Issued in PA
Practice address
3500 Brooktree Rd
Suite 320
Wexford, PA 15090-9277
Phone
(724) 933-8888
NPI assigned
Feb 8, 2007
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS 012134 PA Primary

Addresses

Primary practice location

3500 Brooktree Rd
Suite 320
Wexford, PA 15090-9277

Mailing address

116 Browns Hill Rd Ste 100
Valencia, PA 16059-3144
Phone (724) 933-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001246 PA Practitioner - Internal Medicine 6002892791 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 012134PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Physician Practice CurrentSince Jun 1, 2018 Accepting new patients
Good Samaritan Hospice of Pittsburgh Past Accepting new patients
Living Independence for the Elderly Pittsburgh Inc PastSince Aug 1, 2019 Accepting new patients

Locations

112 Marwood Rd
Ste 5000
Cabot, PA 16023
Phone (724) 352-4448

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Hospice of PittsburghValencia, PA, CCN 391629 Hospice Contracted Managing Employee Apr 1, 2024
Concordia Hospice of BethlenLigonier, PA, CCN 391710 Hospice Contracted Managing Employee Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1902946650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROWNS HILL RD STE 100",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "160593144",
            "telephone_number": "724-933-8888",
            "fax_number": "724-933-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BROOKTREE RD",
            "address_2": "SUITE 320",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909277",
            "telephone_number": "724-933-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSCH",
        "first_name": "DINA",
        "middle_name": "CECERE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS 012134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.