Pittsburgh Center for Functional Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD444854 Issued in PA

Legal business name

PITTSBURGH CENTER FOR FUNCTIONAL MEDICINE

Practice address

3830 S Water St
Pittsburgh, PA 15203-2375

Phone

(412) 422-5433

Fax

(412) 422-1935

NPI assigned

Mar 27, 2018

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Lobur, MDNPI 1487816153

Title

Doctor/Owner

Phone

(412) 422-5433

Specialties & licenses 1

Addresses

Other names 1

• True Health Wellness Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lobur Jr., M.D.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1487816153
  Medicare reassignment Care Compare group NPD Authorized official
• Lucia Buckley, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1326716481
  Medicare reassignment Care Compare group NPD
• Franne Racelle Berez, MD, ND

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1902977879
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1942705447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032375",
            "telephone_number": "412-422-5433",
            "fax_number": "412-422-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032375",
            "telephone_number": "412-422-5433",
            "fax_number": "412-422-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH CENTER FOR FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "LOBUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "412-422-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "MD444854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Health Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.