SEWICKLEY PRIMARY CARE, LLC (NPI# 1285777136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285777136 |
| Entity Type | Organization |
| Organization Name | SEWICKLEY PRIMARY CARE, LLC |
| Practice Address |
701 Broad St Suite 4b - 4th Floor Sewickley PA 15143-1652 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4127410985 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIR. OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD045483L | PA | Suppliers |
| Street Address |
701 BROAD ST SUITE 4B - 4TH FLOOR |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811498 | Emily L Solow | Surgery | 701 Broad St, Sewickley, PA 15143-1652 | 2005-06-14 |
| 1316593387 | Aaron Anthony Lozzi | Nurse Anesthetist, Certified Registered | 701 Broad St, Sewickley, PA 15143-1681 | 2019-08-14 |
| 1487100137 | Jarret Lewis | Nurse Anesthetist, Certified Registered | 701 Broad St, Sewickley, PA 15143-1681 | 2016-08-31 |
| 1982067328 | Haixu Yan | Emergency Medicine | 701 Broad St, Sewickley, PA 15143-1681 | 2016-04-02 |
| 1861860942 | Erin Mcdonough-mayo | Nurse Practitioner | 701 Broad St, Suite 421, Sewickley, PA 15143-1681 | 2015-09-08 |
| 1932580792 | Susan Beth Pointer | Nurse Practitioner | 701 Broad St, Suite 422, Sewickley, PA 15143-1652 | 2015-06-17 |
| 1003294166 | Kristina Johnson | Counselor | 701 Broad St, Suite 422, Sewickley, PA 15143-1652 | 2015-05-09 |
| 1710206842 | Gerald M. Goltz, M.d. & Associates, PC | Internal Medicine | 701 Broad St, Suite C, Sewickley, PA 15143-1652 | 2010-05-28 |
| 1831425222 | Michele D Trunzo | Nurse Practitioner | 701 Broad St, 4b, Sewickley, PA 15143-1652 | 2009-10-20 |
| 1477789766 | Gail E Warner | Nurse Practitioner | 701 Broad St, Suite 422, Sewickley, PA 15143-1696 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356773147 | Heritage Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 100 Hazel Ln, Sewickley, PA 15143-1249 | 2013-08-02 |
| 1003956830 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 1606 Carmody Ct, Blaymore I, Suite 202, Sewickley, PA 15143-8568 | 2007-02-08 |
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|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
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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.