SANJAY MITRA (NPI# 1285950469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285950469 |
| Entity Type | Individual |
| Full Name | SANJAY MITRA |
| Credential | MD |
| Practice Address |
4800 Friendship Ave Fl 3 Pittsburgh PA 15224-1722 |
| Practice Telephone | 4125785858 |
| Practice Fax Number | 4123301529 |
| Mailing Telephone | 4125785858 |
| Mailing Fax Number | 4123301529 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 23965 | WV | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD456983 | PA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
23965 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810017874 | 05 | |
| PA | 102501240 | 05 |
| Street Address |
4800 FRIENDSHIP AVE FL 3 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504983 | Briana Lee Kost | Physician Assistant | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2005-08-02 |
| 1790226454 | Autumn Rose Nesbitt | Nurse Practitioner | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224 | 2017-03-14 |
| 1992179808 | Amy Hayden Medved | Nurse Practitioner | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2015-11-17 |
| 1831586957 | Wasan Daimi | Pediatrics | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2015-04-16 |
| 1235528373 | Katybeth Mcclelland | Nurse Practitioner | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2015-01-13 |
| 1841601408 | Cheryl A Hibbert | Nurse Practitioner | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2014-05-15 |
| 1568881506 | Lauren Jacobs | Pediatrics | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224 | 2014-04-07 |
| 1629370507 | Jodi Bier | Physician Assistant | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2010-11-25 |
| 1588982458 | Bindu Ponnu Raveendran | Pediatrics | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2010-05-17 |
| 1770773913 | William J Mccarran | Pediatrics | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144744350 | Gelmi Vanegas | Pediatrics | 300 Halket St, Pittsburgh, PA 15213-3108 | 2017-07-29 |
| 1316280357 | Erin Marie Murillo | Pediatrics | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2013-03-28 |
| 1558621219 | John Wagdy Ibrahim | Pediatrics | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2012-05-29 |
| 1245598697 | Kathleen Susan Schwabenbauer | Pediatrics | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2012-04-23 |
| 1700171444 | Bianca Elizabeth Loverde | Pediatrics | 3380 Boulevard of The Allies, Division of Newborn Medicine, Pittsburgh, PA 15213 | 2011-06-10 |
| 1982995445 | Natasha Lynn Lopez | Pediatrics | 300 Halket St, Pittsburgh, PA 15213-3108 | 2011-05-02 |
| 1316253958 | Allegheny Clinic | Pediatrics | 4800 Friendship Ave, 3rd Floor West Tower, Pittsburgh, PA 15224-1722 | 2010-08-20 |
| 1306167523 | Jennifer Zank | Pediatrics | 300 Halket St, Division of Newborn Medicine, Pittsburgh, PA 15213-3108 | 2010-06-22 |
| 1588982458 | Bindu Ponnu Raveendran | Pediatrics | 4800 Friendship Ave Fl 3, Pittsburgh, PA 15224-1722 | 2010-05-17 |
| 1982922217 | Charles Miles Harmon | Pediatrics | 300 Halket St, Pittsburgh, PA 15213-3108 | 2010-05-11 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
Please comment or provide details below to improve the information on SANJAY MITRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.