Active NPI
Phyllis Montellese LLC
- Medical Specialty Clinic/Center
- Pittsburgh, PA
National Provider Identifier
1932277126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- PHYLLIS MONTELLESE LLC
- Practice address
- 128 N Craig St
Suite 216
Pittsburgh, PA 15213-2744 - Phone
- (412) 681-3200
- NPI assigned
- Dec 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
- Phyllis Montellese, M.D.
- Title
- President
- Phone
- (412) 681-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
128 N Craig St
Suite 216
Pittsburgh, PA 15213-2744
Mailing address
128 North Craig Street
Suite 216
Pittsburgh, PA 15213-4824
Phone (412) 681-3200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010516210003 | Medicaid | PA | |
| 1878693 | Other | BLUE SHIELD NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Millvale, PA
- NPI 1144216763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1932277126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 NORTH CRAIG STREET",
"address_2": "SUITE 216",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152134824",
"telephone_number": "412-681-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N CRAIG ST",
"address_2": "SUITE 216",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132744",
"telephone_number": "412-681-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYLLIS MONTELLESE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "MONTELLESE",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-681-3200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010516210003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NUMBER",
"identifier": "1878693",
"state": null
}
],
"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 Nov 28, 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.