Organization Active NPI

Phyllis Montellese LLC

  • Medical Specialty Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1932277126
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Nov 28, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0010516210003MedicaidPA
1878693OtherBLUE SHIELD NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.