DR. JACK L PECHERSKY (NPI# 1831107648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831107648 |
| Entity Type | Individual |
| Full Name | DR. JACK L PECHERSKY |
| Credential | DMD |
| Practice Address |
2345 Murray Ave Suite 220 Pittsburgh PA 15217-2353 |
| Mailing Address |
5518 Pocusset St Pittsburgh PA 15217 |
| Practice Telephone | 4124221582 |
| Practice Fax Number | 4124221583 |
| Mailing Telephone | 4124210629 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS016789L | PA | Dental Providers |
| Street Address |
2345 MURRAY AVE SUITE 220 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15217-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528020153 | Colleen Schomburg | Physical Therapist | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2006-04-06 |
| 1417408212 | Jacquelyn Latham | Physical Therapist | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2016-10-18 |
| 1790239747 | Emily Dunnette | Physical Therapist | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2016-08-08 |
| 1326479965 | Niedermeyer & Associates | Social Worker | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2013-12-09 |
| 1356606669 | Joni Marie Mothersbaugh | Physical Therapist | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2012-07-12 |
| 1326291642 | Kirsti Stark | Counselor | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2008-10-30 |
| 1861528614 | Deborah Evers | Counselor | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2007-02-26 |
| 1396800801 | Sharon Leak | Psychologist | 2345 Murray Ave, Suite 230, Pittsburgh, PA 15217-2352 | 2006-12-26 |
| 1477611275 | Janice L Bryant | Physical Therapist | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2006-12-05 |
| 1013946508 | Susan Bourdon | Counselor | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279867 | Esther Moritz | Emergency Medical Technician, Basic | Tech and Frew Streets, Pittsburgh, PA 15217 | 2020-03-05 |
| 1588168645 | Melissa Noll-carter | Counselor | 5725 Forward Ave Ste 300, Pittsburgh, PA 15217 | 2018-03-22 |
| 1699281923 | Laura Leiden | Dietitian, Registered | 2008 Murray Ave Ste B, Pittsburgh, PA 15217 | 2017-12-22 |
| 1912424391 | Tina Marie Javorsky | Dental Hygienist | Squirrel Hill Health Center, 4516 Browns Hill Road --suite A, Pittsburgh, PA 15217 | 2017-08-25 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588044283 | Jonathan Yadlosky | Family Medicine | 5608 Wilkins Ave Ste 100, Pittsburgh, PA 15217 | 2015-06-08 |
| 1659795631 | Karolyn Carlson | Speech-Language Pathologist | 5636 Bartlett Street, Pittsburgh, PA 15217 | 2014-02-11 |
| 1841620663 | Tokunboh M. Obasi | Nutritionist | 5824 Forbes Ave., Suite 2a, Pittsburgh, PA 15217 | 2013-11-14 |
| 1063710705 | Jeffrey Michael Parker | Dentist | 6301 Forbes Ave., Suite 102, Pittsburgh, PA 15217 | 2011-03-04 |
| 1528381324 | Susan Shaiman Kimelman | Speech-Language Pathologist | 233 Anita Ave, Pittsburgh, PA 15217 | 2010-03-08 |
| Find all providers in zip 15217 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649708066 | James Joseph Rosen Jr. | Dentist | 680 Washington Rd Ste 101, Pittsburgh, PA 15228-1950 | 2017-05-30 |
| 1831623230 | Sara Safdari-sadaloo | Dentist | 3955 Bigelow Blvd Apt 206, Pittsburgh, PA 15213-1232 | 2017-04-12 |
| 1760741631 | Pechersky Valasek LLC | Dentist | 2345 Murray Ave Ste 220, Pittsburgh, PA 15217-2361 | 2012-05-11 |
| 1558415430 | Gurtner &gurtner | Dentist | 429 Cochran Rd, Pittsburgh, PA 15228-1211 | 2007-01-22 |
| 1174567499 | Alene Marie D'alesio | Dentist | 45th and Penn Avenue, 3rd Floor Main Hospital, Pittsburgh, PA 15201 | 2006-06-16 |
| 1356384903 | Robert J Smith | Dentist | 9200 Perry Hwy, Pittsburgh, PA 15237-5444 | 2006-06-13 |
| 1518504133 | James J Rosen Dds | Dentist | 680 Washington Rd Ste 101, Pittsburgh, PA 15228-1950 | 2019-12-02 |
| 1275019903 | Allison Christine Gerlach | Dentist | 3501 Terrace Street, Pittsburgh, PA 15261 | 2018-07-16 |
| 1669850939 | Brian Lam | Dentist | 4401 Penn Ave, Floor 3, Pittsburgh, PA 15224-1334 | 2015-05-07 |
| 1891187753 | Premier Family Dentistry of Pa LLC | Dentist | 5208 Clairton Blvd, Suite 2, Pittsburgh, PA 15236-2711 | 2015-03-02 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15217 |
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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.