BRENTWOOD MEDICAL GROUP (NPI# 1528480720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528480720 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD MEDICAL GROUP |
| Practice Address |
3720 Brownsville Rd Pittsburgh PA 15227-3520 |
| Practice Telephone | 4128829455 |
| Practice Fax Number | 4128846149 |
| Mailing Telephone | 4128829455 |
| Mailing Fax Number | 4128846149 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | MR. VINCENT LUCCHETTI (ADMINISTRATOR) |
| Authorized Official Telephone | 4128829455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056618 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3720 BROWNSVILLE RD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15227-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366472573 | Scott Paul Carnivale | Internal Medicine | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2006-07-04 |
| 1518389378 | Sarah Chlebowski | Physician Assistant | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2014-01-14 |
| 1821391137 | Sarah K Turner | Physician Assistant | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2010-12-08 |
| 1659690139 | Primary Care Group 10, Inc | Family Medicine | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2010-05-24 |
| 1649381054 | Brentwood Medical Group, Inc. | Internal Medicine | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2006-08-31 |
| 1003840513 | Scott Thomas Phillips | Internal Medicine | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2006-07-10 |
| 1174557680 | Susan Lynn Hackworth | Physician Assistant | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2006-07-10 |
| 1396775516 | Dushan Majkic | Internal Medicine | 3720 Brownsville Rd, Pittsburgh, PA 15227-3520 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1609348127 | Crystal Lee Broley | Pediatrics | 3911 Saw Mill Run Blvd, Pittsburgh, PA 15227 | 2018-12-21 |
| 1346733607 | Managed Home Health Care LLC | In Home Supportive Care | 3330 Saw Mill Run Blvd, Pittsburgh, PA 15227 | 2018-06-12 |
| 1902331952 | David Lori | Counselor | 3511 Shadewell Avenue, Pittsburgh, PA 15227 | 2017-04-27 |
| 1558768465 | Kathleen Vanderkolk | Counselor | 4153 Brownsville Road, Suite 5, Pittsburgh, PA 15227 | 2014-11-21 |
| 1104056522 | Spartan Pharmacy Inc. | Pharmacy | 3528 Brownsville Road, Pittsburgh, PA 15227 | 2009-07-20 |
| 1386798320 | Francis A Cappetta Dds PC | Dentist | 3903 Clairton Blvd, Pittsburgh, PA 15227 | 2007-01-23 |
| 1154483519 | Harry S Carnegie | Dentist | 4127 Brownsville Road, Suite 206, Pittsburgh, PA 15227 | 2006-12-14 |
| 1871678250 | Deborah Sue Quinn Chivers | Social Worker | 4701 Baptist Road Suite 208a, Manor Building, Pittsburgh, PA 15227 | 2006-10-26 |
| 1922183607 | Roselyn Elizabeth Carozza | Dentist | 4018 Lanmore Ave, Pittsburgh, PA 15227 | 2006-10-25 |
| Find all providers in zip 15227 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
| 1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
| 1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
| 1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
| 1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
| 1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
| 1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
| 1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15227 |
Please comment or provide details below to improve the information on BRENTWOOD MEDICAL GROUP.
| 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.