MITRE GASTROENTEROLOGY ASSOCIATES (NPI# 1366487720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366487720 |
| Entity Type | Organization |
| Organization Name | MITRE GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
925 Brighton Rd Pittsburgh PA 15233-1707 |
| Practice Telephone | 4123211648 |
| Practice Fax Number | 4123214216 |
| Mailing Telephone | 4123211648 |
| Mailing Fax Number | 4123214216 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICARDO MITRE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4123211648 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD032806L | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1009520810001 | 05 | |
| NJ | BLUE CROSS BLUE SHIELD | 1568734 | 01 |
| Street Address |
925 BRIGHTON RD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15233-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962684332 | Constantine Louis Nellas | Internal Medicine | 925 Brighton Rd, Pittsburgh, PA 15233-1707 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346710993 | Amy Jo Mary | Counselor | 1398 Page Street, Pittsburgh, PA 15233 | 2018-11-27 |
| 1013429182 | Breathe Easy Independent Living Services LLC | In Home Supportive Care | 1014 Pennsylvaina Avenue, Pittsburgh, PA 15233 | 2017-10-30 |
| 1073037669 | Martha Marie Laux | Social Worker | 820 Allegheny Ave, Pittsburgh, PA 15233 | 2017-07-26 |
| 1649557943 | Donna Rae Murphy | Counselor | 1200 Reedsdale St., Mercy Behavioral Health, Pittsburgh, PA 15233 | 2011-11-15 |
| 1497883714 | Kaley Fisher | Speech-Language Pathologist | 1350 Old Freeport Rd., Suite 2ar, Pittsburgh, PA 15233 | 2007-02-28 |
| 1518920057 | Mary N Boren | Psychiatry & Neurology | 1200 Reedsdale Street, Pittsburgh, PA 15233 | 2006-04-07 |
| 1730398678 | Mirna Abdallah | Anesthesiology | 1501 Reedsdale St, Ste 4004 Western Pa Anesthesia Associates, Pittsburgh, PA 15233 | 2007-05-21 |
| 1750408506 | Suzanne Marie Burkley | Counselor | 1200 Reedsdale St, Pittsburgh, PA 15233 | 2007-03-26 |
| 1720004005 | Stephen A. Gostowski | Psychologist | 1200 Reedsdale Street, Pittsburgh, PA 15233 | 2006-07-13 |
| 1750378121 | Kimberly I Mapstone | Counselor | 1200 Reedsdale St, Pittsburgh, PA 15233 | 2005-09-30 |
| Find all providers in zip 15233 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1780973438 | Anna Evans Phillips | Internal Medicine | 200 Lothrop St # M2, Pittsburgh, PA 15213-2536 | 2011-04-04 |
| 1457474652 | Robert William Herb | Internal Medicine | 68 Churchill Rd, Pittsburgh, PA 15235-5110 | 2007-04-10 |
| 1982626420 | Refaat Hegazi | Internal Medicine | 200 Lothrop, 3rd Flr Puh, Pittsburgh, PA 15213 | 2006-07-24 |
| 1992724827 | Ian Michael Mcgowan | Internal Medicine | 204 Craft Ave, Room B505, Pittsburgh, PA 15213-3005 | 2006-07-19 |
| 1528087939 | Jaideep Behari | Internal Medicine | 200 Lothrop St 9th Fl Ft, Pittsburgh, PA 15213 | 2006-07-18 |
| 1467401976 | Ragunath Appasamy | Internal Medicine | 4815 Liberty Ave Ste M56, Pittsburgh, PA 15224-2156 | 2006-05-10 |
| 1508845553 | Georgios I Papachristou | Internal Medicine | 1614 Michael Dr, Pittsburgh, PA 15227-3959 | 2006-01-10 |
| 1669457230 | David V Glorioso | Internal Medicine | 1305 Locust St, Suite 406, Pittsburgh, PA 15219-4741 | 2005-12-07 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15233 |
Please comment or provide details below to improve the information on MITRE GASTROENTEROLOGY ASSOCIATES.
| 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.