Individual provider Active NPI

Roberta Irene Gillespie, PA-C

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1922038470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA-003017-L Issued in PA
Practice address
3459 Fifth Avenue
Upmc Montefiore, 7 South
Pittsburgh, PA 15123-2582
Phone
(412) 692-2001
Fax
(412) 692-2002
NPI assigned
Jul 3, 2006
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
Surgical Physician Assistant 363AS0400X MA-003017-L PA Primary

Addresses

Primary practice location

3459 Fifth Avenue
Upmc Montefiore, 7 South
Pittsburgh, PA 15123-2582

Mailing address

3459 Fifth Avenue
Upmc Montefiore, 7 South
Pittsburgh, PA 15123-2582
Phone (412) 692-2001

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA-003017-LPAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922038470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 FIFTH AVENUE",
            "address_2": "UPMC MONTEFIORE, 7 SOUTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151232582",
            "telephone_number": "412-692-2001",
            "fax_number": "412-692-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 FIFTH AVENUE",
            "address_2": "UPMC MONTEFIORE, 7 SOUTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151232582",
            "telephone_number": "412-692-2001",
            "fax_number": "412-692-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ROBERTA",
        "middle_name": "IRENE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA-003017-L",
            "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.