PT Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PT FAMILY MEDICINE PC

Practice address

2057 State Route 130
Jeannette, PA 15644-3801

Phone

(724) 527-2700

Fax

(724) 527-2705

NPI assigned

Jan 5, 2019

Organization subpart

No

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

Authorized official

Name

Kevin M Wong, MDNPI 1437177193

Title

Owner

Phone

(724) 527-2700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20720/brand/1/csg/1/fhir/r4

Practitioners 6

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

• Kevin Michael Wong, MD

  • Family Medicine Physician
  • Jeannette, PA
  • NPI 1437177193
  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlyn M Petrakis, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1255839593
  Medicare reassignment Care Compare group NPD
• Jessica Steffey

  • Family Nurse Practitioner
  • Jeannette, PA
  • NPI 1487453999
  Medicare reassignment Care Compare group NPD
• Michael Walter Wong, DO

  • Sports Medicine (Family Medicine) Physician
  • Jeannette, PA
  • NPI 1184002537
  Medicare reassignment Care Compare group NPD
• Brandi Eutsey, CRNP

  • Family Nurse Practitioner
  • Monongahela, PA
  • NPI 1902176928
  NPD
• McKenzie Means, CRNP

  • Nurse Practitioner
  • Jeannette, PA
  • NPI 1740041854
  NPD

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1962975615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 STATE ROUTE 130",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443801",
            "telephone_number": "724-527-2700",
            "fax_number": "724-527-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 STATE ROUTE 130",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443801",
            "telephone_number": "724-527-2700",
            "fax_number": "724-527-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-527-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Jeannette, PA
• Providers in Jeannette, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.