PITTSBURGH GYNECOLOGIC ONCOLOGY, INC. (NPI# 1760517502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760517502 |
| Entity Type | Organization |
| Organization Name | PITTSBURGH GYNECOLOGIC ONCOLOGY, INC. |
| Practice Address |
4815 Liberty Ave Suite 127 Pittsburgh PA 15224-2156 |
| Practice Telephone | 4126879944 |
| Practice Fax Number | 4126879946 |
| Mailing Telephone | 4126879944 |
| Mailing Fax Number | 4126879946 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | DR. FREDRIC V. PRICE (PRESIDENT) |
| Authorized Official Telephone | 4126879944 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD039997E | PA | Ambulatory Health Care Facilities |
| Street Address |
4815 LIBERTY AVE SUITE 127 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600425 | James M Rossetti | Internal Medicine | 4815 Liberty Ave, Ste Gr70, Pittsburgh, PA 15224-2156 | 2005-06-21 |
| 1790225910 | Stephanie Riffer | Physician Assistant | 4815 Liberty Ave, Suite Gr 30, Pittsburgh, PA 15224-2156 | 2017-03-07 |
| 1477098457 | Marcy Lindley | Nurse Practitioner | 4815 Liberty Ave, Suite 340, Pittsburgh, PA 15224-2156 | 2016-12-29 |
| 1508309600 | West Penn Eye Associates | Specialist | 4815 Liberty Ave, Suite M-25, Pittsburgh, PA 15224-2156 | 2016-11-22 |
| 1649729757 | Alexis Elizabeth Allan | Physician Assistant | 4815 Liberty Ave, Suite Gr30, Pittsburgh, PA 15224-2156 | 2016-09-30 |
| 1053701656 | Amanda Henning | Physician Assistant | 4815 Liberty Ave, Suite Gr 70, Pittsburgh, PA 15224-2156 | 2015-02-03 |
| 1962807651 | Allegheny Health Network | General Acute Care Hospital | 4815 Liberty Ave, Suite 448, Pittsburgh, PA 15224-2156 | 2014-10-24 |
| 1003219411 | Allegheny Health Network | Colon & Rectal Surgery | 4815 Liberty Ave, Suite M56, Pittsburgh, PA 15224-2156 | 2014-09-29 |
| 1700285111 | Brogan Nicole Keane | Physician Assistant | 4815 Liberty Ave, Suite 222, Pittsburgh, PA 15224-2156 | 2014-08-21 |
| 1780097212 | Roshanak Fereydouni | Optometrist | 4815 Liberty Ave, Pittsburgh, PA 15224-2156 | 2014-06-02 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1962872861 | Mb Integrative Medicine LLC | Clinic/Center | 6782 Germantown Ave, Philadelphia, PA 19119-2110 | 2015-10-05 |
| 1437528817 | Charles S. Yanofsky, Md | Clinic/Center | 120 Pelham Rd, Camp Hill, PA 17011-1352 | 2015-09-16 |
| 1134597735 | Rheumatology Care Specialists | Clinic/Center | 1786 Wilmington Pike Ste 100b, Glen Mills, PA 19342-8122 | 2015-09-13 |
| 1346639861 | Seraly Eye Care Associates LLC | Clinic/Center | 220 E Mcmurray Rd, Mc Murray, PA 15317-2948 | 2015-01-21 |
| Find all providers with the same taxonomy | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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| 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.