Basic Information
| Provider Information | |||||||||
| NPI: | 1902122930 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WEST PENN ALLEGHENY HEALTH SYSTEM, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 90261 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152240761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669077551 | ||||||||
| FaxNumber: | 4125780259 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 ALLEGHENY CTR | ||||||||
| Address2: | SIXTH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152125402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123304813 | ||||||||
| FaxNumber: | 4123305522 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2010 | ||||||||
| LastUpdateDate: | 04/15/2010 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | CECILI | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | ENROLLMENT SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 4123304813 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Dental Providers | Dentist | 207RC0000X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RP1001X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 2080N0001X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 2082S0105X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Plastic Surgery | Surgery of the Hand | 2086S0127X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 213E00000X | PA | N | 193200000X MULTI-SPECIALTY GROUP | Podiatric Medicine & Surgery Service Providers | Podiatrist | 208600000X | PA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1007277200089 | 05 | PA | MEDICAID | 1007277200071 | 05 | PA | MEDICAID | 2355688 | 05 | OH | MEDICAID | 3810010815 | 05 | WV | MEDICAID | 3810010817 | 05 | WV | MEDICAID | 1007277200001 | 05 | PA | MEDICAID | 1007277200106 | 05 | PA | MEDICAID | 1007277200012 | 05 | PA | MEDICAID | 2959820 | 05 | OH | MEDICAID | 1007277200081 | 05 | PA | MEDICAID | 2750269 | 05 | OH | MEDICAID | 432728800 | 05 | ME | MEDICAID | 1007277200078 | 05 | PA | MEDICAID | 3810004774 | 05 | WV | MEDICAID | 2879596 | 05 | OH | MEDICAID | 3810008519 | 05 | WV | MEDICAID |