SOUTH HILLS FAMILY MEDICINE, LLC (NPI# 1447200662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447200662 |
| Entity Type | Organization |
| Organization Name | SOUTH HILLS FAMILY MEDICINE, LLC |
| Practice Address |
495 Waterfront Dr E Homestead PA 15120-1140 |
| Mailing Address |
1000 Higbee Dr Suite 104 Bethel Park PA 15102-4200 |
| Practice Telephone | 4128336176 |
| Practice Fax Number | 4128336421 |
| Mailing Telephone | 4128336176 |
| Mailing Fax Number | 4128336421 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | DR. MICHAEL P MCGONGIAL (HEAD PHYSICIAN) |
| Authorized Official Telephone | 4128336176 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001758961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497705784 | South Hills Family Medicine, LLC | Family Medicine | 1000 Higbee Dr, Suite D202, Bethel Park, PA 15102-4200 | 2006-05-10 |
| Street Address |
495 WATERFRONT DR E |
| City | HOMESTEAD |
| State | PA |
| Zip Code | 15120-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498467 | Amy J. Radkowski | Physical Therapist | 495 Waterfront Dr E, Suite 240, Homestead, PA 15120-1140 | 2005-12-16 |
| 1376882720 | Rachael Elizabeth Morrow | Physical Therapist | 495 Waterfront Dr E, Suite 240, Homestead, PA 15120-1140 | 2013-02-05 |
| 1528111499 | Shawn P. Wright | Physician Assistant | 495 Waterfront Dr E, Suite 200, Homestead, PA 15120-1140 | 2007-01-22 |
| 1881704237 | Waterfront Surgery Center LLC | Clinic/Center | 495 Waterfront Dr E, Suite 110, Homestead, PA 15120-1140 | 2006-08-30 |
| 1902816283 | Suzann Kuesters | Nurse Anesthetist, Certified Registered | 495 Waterfront Dr E, Suite 110, Homestead, PA 15120-1140 | 2006-08-09 |
| 1710912845 | Stanley D. Bosta Dpm PC | Podiatrist | 495 Waterfront Dr E, Suite230, Homestead, PA 15120-1140 | 2006-07-11 |
| 1710911912 | William H. Lenz, Dpm, PC | Podiatrist | 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 | 2006-07-11 |
| 1912933730 | Stephen C Philbrick | Physical Therapist | 495 Waterfront Dr E, Suite 240, Homestead, PA 15120-1140 | 2006-06-23 |
| 1891739447 | Julie Carmel Schneider | Physical Therapist | 495 Waterfront Dr E, Homestead, PA 15120-1140 | 2006-06-15 |
| 1598709156 | Ted David Ricci | Occupational Therapist | 495 Waterfront Dr E, Suite 240, Homestead, PA 15120-1140 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851775357 | Jie Yan | Social Worker | 1800 West Street, Pittsburgh, PA 15120 | 2015-07-14 |
| 1659620763 | Dana Kennedy | Dietitian, Registered | 491 East Eighth Ave, Homestead, PA 15120 | 2012-09-05 |
| 1093063661 | Donna Jean Kanz | Registered Nurse | 491 E. Eighth Ave, Homestead, PA 15120 | 2012-08-29 |
| 1700134301 | Annamarie Duboy | Registered Nurse | 496 E. Eighth Ave, Homestead, PA 15120 | 2012-08-29 |
| 1689922312 | Lisa Smeltzer | Registered Nurse | 491 E. Eighth Avenue, Homestead, PA 15120 | 2012-08-28 |
| 1639326762 | John C Wain | Internal Medicine | 1001 Sullivan Dr, West Homestead, PA 15120 | 2008-08-20 |
| 1801055629 | Jennifer Lynn Brown | Social Worker | 1088 West Street, 1st Floor, Homestead, PA 15120 | 2008-06-06 |
| 1184890485 | Joseph W D'alesio Dds Inc | Dentist | 4609 Main St, Munhall, PA 15120 | 2008-05-06 |
| 1407053424 | Donald Edwin, Lionel Arnold | Non-emergency Medical Transport (VAN) | 463 West 8th Avenue, West Homestead, PA 15120 | 2007-07-02 |
| 1922128347 | Erik Lee Cornell | Speech-Language Pathologist | 491 E Eigth Avenue, Homestead, PA 15120 | 2007-03-30 |
| Find all providers in zip 15120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1538773346 | Beatriz Isaza | Family Medicine | 27186 Sw 139th Pl, Homestead, FL 33032-8837 | 2020-08-31 |
| 1588139166 | Marcos Rafael Oliva | Family Medicine | 11488 Sw 242nd St, Homestead, FL 33032-3110 | 2018-10-10 |
| 1659850501 | Jacqueline Tatiana Cuellar I | Family Medicine | 920 Bougainville Blvd, Homestead, FL 33039-0001 | 2018-08-11 |
| 1134501067 | Yuniet Moya | Family Medicine | 946 Ne 42nd Ter, Homestead, FL 33033-6615 | 2015-06-27 |
| 1407096662 | Ana Meyvis Lugo-lopez | Family Medicine | 1300 Ne 41 Pl, Homestead, FL 33033-5857 | 2009-03-02 |
| 1174797724 | Mariela Perez Pa | Family Medicine | 698 N Homestead Blvd Ste 104, Homestead, FL 33030-6208 | 2008-04-15 |
| 1326220229 | Esdras Lopez-garcia | Family Medicine | 151 Nw 11th St Ste E102, Homestead, FL 33030-4350 | 2007-12-03 |
| 1275606832 | Interamerican Medical Center Group LLC | Family Medicine | 1435 Ne 8th St, Homestead, FL 33033-4506 | 2006-11-15 |
| 1649371766 | Iliana Hernandez | Family Medicine | 1645 Ne 8th St, Homestead, FL 33033-4712 | 2006-09-25 |
| Find all providers in HOMESTEAD | ||||
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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.