Organization Active NPI

Allegheny Medical Practice Network

Doing business as Century 111 Medical Associates

  • Internal Medicine Physician
  • West Mifflin, PA
National Provider Identifier
1952375610
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLEGHENY MEDICAL PRACTICE NETWORK
Doing business as
Century 111 Medical Associates
Practice address
2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone
(412) 655-6403
Fax
(412) 665-6400
NPI assigned
Feb 16, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Cindy Waltemire
Title
Managed Care Specialist
Phone
(412) 330-5523

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461

Mailing address

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6403

Other identifiers 1

IdentifierTypeStateIssuer
0017600750028MedicaidPA

Other names 1

  • Century 111 Medical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1952375610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 LEBANON CHURCH RD",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222461",
            "telephone_number": "412-655-6403",
            "fax_number": "412-665-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 LEBANON CHURCH RD",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222461",
            "telephone_number": "412-655-6403",
            "fax_number": "412-665-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY MEDICAL PRACTICE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "412-330-5523"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017600750028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century 111 Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.