PHYLLIS MONTELLESE LLC (NPI# 1932277126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932277126 |
| Entity Type | Organization |
| Organization Name | PHYLLIS MONTELLESE LLC |
| Practice Address |
128 N Craig St Suite 216 Pittsburgh PA 15213-2744 |
| Mailing Address |
128 North Craig Street Suite 216 Pittsburgh PA 15213-4824 |
| Practice Telephone | 4126813200 |
| Mailing Telephone | 4126813200 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | PHYLLIS MONTELLESE (PRESIDENT) |
| Authorized Official Telephone | 4126813200 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD NUMBER | 1878693 | 01 | |
| PA | 0010516210003 | 05 |
| Street Address |
128 N CRAIG ST SUITE 216 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666034 | Michael S. Melnick | Dentist | 128 N Craig St, Suite 207, Pittsburgh, PA 15213-2744 | 2005-08-21 |
| 1235547282 | Ljs Psychiatry | Psychiatry & Neurology | 128 N Craig St, Suite 214, Pittsburgh, PA 15213-2744 | 2014-07-22 |
| 1396024485 | Joshua Eli Gregson | Psychologist | 128 N Craig St, Ste 211c, Pittsburgh, PA 15213-2744 | 2011-08-08 |
| 1336437813 | Steve S Carter Ltd | Clinic/Center | 128 N Craig St, Suite 217, Pittsburgh, PA 15213-2744 | 2011-07-18 |
| 1710289558 | James F Mcguckin Md of Pa PC | Radiology | 128 N Craig St, Suite 100, Pittsburgh, PA 15213-2744 | 2010-11-30 |
| 1710218128 | Pittsbrugh Vascular Institute LLC | Radiology | 128 N Craig St, Suite 100, Pittsburgh, PA 15213-2744 | 2010-01-25 |
| 1861625022 | Angela J Hartman | Psychologist | 128 N Craig St, Suite 215a, Pittsburgh, PA 15213-2744 | 2009-09-03 |
| 1184800237 | Sharna Olfman | Psychologist | 128 N Craig St, Pittsburgh, PA 15213-2744 | 2008-01-18 |
| 1851505994 | Steve Saunders Carter | Psychologist | 128 N Craig St, Suite 217, Pittsburgh, PA 15213-2744 | 2007-05-09 |
| 1841310711 | Christine Marie Fischetti | Psychologist | 128 N Craig St, Suite 215a, Pittsburgh, PA 15213-2744 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| 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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|---|---|---|---|---|
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| 1285911495 | Itxm Diagnositics | Clinic/Center | 3636 Boulevard of The Allies, Pittsburgh, PA 15213-4306 | 2011-11-16 |
| 1659691475 | Allegheny General Hospital | Clinic/Center | 1307 Federal St, Suite B 300, Pittsburgh, PA 15212-4769 | 2010-06-03 |
| 1760517502 | Pittsburgh Gynecologic Oncology, Inc. | Clinic/Center | 4815 Liberty Ave, Suite 127, Pittsburgh, PA 15224-2156 | 2007-02-22 |
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| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1992273890 | Sandpipermd, Inc. | Clinic/Center | 407 S 10th St Fl 2, Philadelphia, PA 19147-1274 | 2018-11-08 |
| 1578043592 | Greater Pittston Urology | Clinic/Center | 250 Kennedy Blvd Ste 2, Pittston, PA 18640-1814 | 2018-08-20 |
| 1871953737 | Fulton County Medical Center | Clinic/Center | 622 Water St, Orbisonia, PA 17243-9424 | 2016-03-04 |
| 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 | 15213 |
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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.