JEFFERSON INTERNAL MEDICINE PC (NPI# 1477980373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477980373 |
| Entity Type | Organization |
| Organization Name | JEFFERSON INTERNAL MEDICINE PC |
| Practice Address |
575 Coal Valley Rd Suite 374 Clairton PA 15025-3730 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4124697744 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| 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 | MD039474E | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700804572 | Jefferson Internal Medicine PC | Internal Medicine | 575 Coal Valley Road, Suite 374, Clairton, PA 15025 | 2006-07-18 |
| Street Address |
575 COAL VALLEY RD SUITE 374 |
| City | CLAIRTON |
| State | PA |
| Zip Code | 15025-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596072 | Sherryl D Pavlick | Nurse Practitioner | 575 Coal Valley Rd, Ste 407, Clairton, PA 15025-3726 | 2005-05-23 |
| 1790072452 | Ellie M Meehl | Physician Assistant | 575 Coal Valley Rd, Suite 374, Clairton, PA 15025-3730 | 2011-07-01 |
| 1477842664 | Guillermo Borrero Md & Associates, PC | Psychiatry & Neurology | 575 Coal Valley Rd, Suite 303, Clairton, PA 15025-3730 | 2011-03-29 |
| 1366744104 | Nataliya V Novikova | Social Worker | 575 Coal Valley Rd, Suite 303, Clairton, PA 15025-3730 | 2010-11-30 |
| 1386877801 | Specialty Group Practice 1, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 575 Coal Valley Rd, Suite 365, Clairton, PA 15025-3730 | 2009-09-01 |
| 1952542128 | Michael Jason Ragas Naguit | Psychiatry & Neurology | 575 Coal Valley Rd, Suite 303, Clairton, PA 15025-3730 | 2009-03-17 |
| 1356504161 | Riyaj Anil Kasekar | Internal Medicine | 575 Coal Valley Rd, Suite 264, Clairton, PA 15025-3730 | 2008-07-02 |
| 1265631634 | Maxim Valeryerich Bocharov | Internal Medicine | 575 Coal Valley Rd, Suite 403, Clairton, PA 15025-3730 | 2007-07-16 |
| 1194924787 | Michael I Mallinger | Internal Medicine | 575 Coal Valley Rd, Suite 405, Clairton, PA 15025-3730 | 2007-07-13 |
| 1386795599 | Amanda Azman | Audiologist | 575 Coal Valley Rd, Ste 202, Clairton, PA 15025-3730 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407362148 | Mary Katherine Bearer | Dental Hygienist | 1925 Route 51 South, Jefferson Hills, PA 15025 | 2017-12-18 |
| 1508171802 | Leanne Kinzler | Dietitian, Registered | 1208 Oakwood Drive, Jeffeson Hills, PA 15025 | 2010-08-11 |
| 1750457214 | Borough of Jefferson Ambulance Association Inc | Ambulance | 2121 Century Drive, Jefferson Hills, PA 15025 | 2006-11-28 |
| 1851480644 | Nancy Katherine Ritenour | Registered Nurse | 559 Miller Ave, Magee At Clairton, Clairton, PA 15025 | 2006-10-12 |
| 1861440315 | Jethalal L Rambhia | Internal Medicine | 1200 Brooks Ln Ste 270, Jefferson Hills, PA 15025 | 2006-05-05 |
| 1134197130 | Jefferson/upmc Cancer Associates | Radiology | 565 Coal Valley Road, Pittsburgh, PA 15025 | 2006-03-08 |
| 1518932961 | Theodore R Paladino | Dentist | 25 Gill Hall Road, Jefferson Hills, PA 15025 | 2006-02-21 |
| 1093789422 | Tegendra Singh Wallia | Internal Medicine | 612 Miller Ave, Clairton, PA 15025 | 2006-02-14 |
| 1902336423 | Kylie Zeiler | Registered Nurse | 565 Coal Valley Rd, Jefferson Hills, PA 15025 | 2017-06-18 |
| 1316324007 | Steven Alsobrook | Internal Medicine | 565 Coal Valley Rd, Jefferson Hills, PA 15025 | 2015-05-01 |
| Find all providers in zip 15025 | ||||
| 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 |
|---|---|---|---|---|
| 1639490790 | Prime Medical Group | Non-Pharmacy Dispensing Site | 1200 Brooks Ln, 110, Clairton, PA 15025-3747 | 2010-06-11 |
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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.