Active NPI
Western PA Women'S Healthcare Associates
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
National Provider Identifier
1922038140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WESTERN PA WOMEN'S HEALTHCARE ASSOCIATES
- Practice address
- 850 Clairton Blvd
Suite 3100
Pittsburgh, PA 15236-4567 - Phone
- (412) 466-2115
- Fax
- (412) 466-4668
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane C. Ichikawa, M.D.
- Title
- President
- Phone
- (412) 466-2115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
850 Clairton Blvd
Suite 3100
Pittsburgh, PA 15236-4567
Mailing address
850 Clairton Blvd
Suite 3100
Pittsburgh, PA 15236-4567
Phone (412) 466-2115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019038010004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
300 Halket St
Ste 5730
Pittsburgh, PA 15213
Phone (412) 621-7575
119 Vip Dr
Ste 206
Wexford, PA 15090
Phone (412) 385-7138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922038140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 CLAIRTON BLVD",
"address_2": "SUITE 3100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152364567",
"telephone_number": "412-466-2115",
"fax_number": "412-466-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 CLAIRTON BLVD",
"address_2": "SUITE 3100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152364567",
"telephone_number": "412-466-2115",
"fax_number": "412-466-4668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PA WOMEN'S HEALTHCARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ICHIKAWA",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-466-2115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019038010004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.