Basic Information
Provider Information
NPI: 1407807415
EntityType: 2
ReplacementNPI:  
OrganizationName: MCE ENDOCRINOLOGY ASSOCIATES, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1518 FORBES AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152195112
CountryCode: US
TelephoneNumber: 4122325546
FaxNumber: 4122325548
Practice Location
Address1: 1350 LOCUST ST
Address2: STE 308 BUILDING C
City: PITTSBURGH
State: PA
PostalCode: 152194738
CountryCode: US
TelephoneNumber: 4122325550
FaxNumber: 4122328398
Other Information
ProviderEnumerationDate: 05/14/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: JOHNSTON
AuthorizedOfficialFirstName: JANN
AuthorizedOfficialMiddleName: M.
AuthorizedOfficialTitleorPosition: LEAD PHYSICIAN
AuthorizedOfficialTelephone: 4122325550
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


Home