MS. RENEE NICOLE PETRUCCI


Address: 5200 Centre Ave Ste 610, Pittsburgh, PA 15232-1326
Phone: 4126211200

MS. RENEE NICOLE PETRUCCI (NPI# 1659885713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659885713
Entity Type Individual
Full Name MS. RENEE NICOLE PETRUCCI
Credential PA-C
Practice Address 5200 Centre Ave Ste 610
Pittsburgh
PA 15232-1326
Mailing Address 846 Jancey St Apt 1
Pittsburgh
PA 15206-1335
Practice Telephone 4126211200
Practice Fax Number 4126219958
Mailing Telephone 7249872584
Enumeration Date 2017-11-28
Last Update Date 2017-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant OA004328 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant MA059494 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5200 CENTRE AVE STE 610
City PITTSBURGH
State PA
Zip Code 15232-1326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023117405 Marcy J Zoller Internal Medicine 5200 Centre Ave Ste 610, Pittsburgh, PA 15232-1326 2006-09-21
1447888524 Lauren Yakich Registered Nurse 5200 Centre Ave Ste 610, Pittsburgh, PA 15232-1326 2020-04-01
1396205480 Andrew R Ozolins Registered Nurse 5200 Centre Ave Ste 610, Pittsburgh, PA 15232-1326 2019-03-23
1003392564 Stephanie Desantis Nurse Practitioner 5200 Centre Ave Ste 610, Pittsburgh, PA 15232 2018-07-17
1366957441 Ruby Nephtalie Derogene Physician Assistant 5200 Centre Ave Ste 610, Pittsburgh, PA 15232-1326 2017-12-11
1144691890 Emily Helen Miller Physician Assistant 5200 Centre Ave Ste 610, Pittsburgh, PA 15232-1326 2015-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013532530 Filip Istvanic Student in an Organized Health Care Education/Training Program 5200 Centre Ave, Shea Medical Center, Pittsburgh, PA 15232 2020-06-10
1720601669 Matthew Gross Student in an Organized Health Care Education/Training Program Shea Medical Center, 5200 Centre Ave, Pittsburgh, PA 15232 2020-05-27
1508488537 Stephen Laurence Scharf Student in an Organized Health Care Education/Training Program 5125 Centre Avenue ( Upmc Shadyside Family Health Cente, 2nd Floor, Pittsburgh, PA 15232 2020-05-13
1730748484 Adeline Jade Hernandez Yu Student in an Organized Health Care Education/Training Program 5125 Centre Ave., Upmc Shadyside Family Health Center, Second Floor, Pittsburgh, PA 15232 2019-06-06
1386200160 Suzanne Whittemore Student in an Organized Health Care Education/Training Program Upmc Shadyside Family Health Centre, 5125 Centre Avenue, Pittsburgh, PA 15232 2019-05-16
1699330852 Dodi Zenilman Student in an Organized Health Care Education/Training Program Upmc Presbyterian Shadyside (shadyside Campus) (shy), 5230 Centre Ave, Pittsburgh, PA 15232 2019-05-03
1619438322 Zachary John Kosak Student in an Organized Health Care Education/Training Program 5125 Centre Ave, Second Floor, Pittsburgh, PA 15232 2019-03-26
1992269849 Jorden Leigh Eutsey Physician Assistant 5150 Centre Ave Rm 460, Pittsburgh, PA 15232 2019-01-24
1235621178 Samuel Bryce Sauerwein Student in an Organized Health Care Education/Training Program Shady Side Medical Building 5200 Centre Ave., Suite 509, Pittsburgh, PA 15232 2018-06-06
1316439789 Muara Jane Heffernan Student in an Organized Health Care Education/Training Program Shadyside Medical Building, 5200 Centre Ave, Suite 509, Pittsburgh, PA 15232 2018-06-01
Find all providers in zip 15232

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922608645 Meghan Michelle Allen Physician Assistant 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 2020-10-30
1003427816 Ulysses Samuel Ator Physician Assistant 1031 Towervue Dr, Pittsburgh, PA 15227-3927 2020-08-14
1497364962 Lauren Renee Schoeppner Physician Assistant 531 Harmony Rd, Pittsburgh, PA 15237-1135 2020-07-30
1740802669 Heather Kristen Mclaughlin Physician Assistant 6015 Spirit St Apt 216, Pittsburgh, PA 15206-3179 2020-05-13
1346869005 Gina Marie Nerone Physician Assistant Upp Emergency Medicine, 3400 Forbes @ Meyran, Ste 10040, Pittsburgh, PA 15213 2020-04-13
1881237956 Isaac Beckler Physician Assistant 6721 Thomas Blvd Apt 22, Pittsburgh, PA 15208-2353 2019-10-22
1871135137 Rachel Kosciusko Physician Assistant 5725 Forward Ave Fl 4, Pittsburgh, PA 15217-2255 2019-10-08
1073154456 Christina Damico Physician Assistant 309 Smithfield St Ste 200, Pittsburgh, PA 15222-2229 2019-10-07
1134760093 Taylor Schwarzberger Physician Assistant 4100 Alequippa St, Pittsburgh, PA 15213 2019-10-02
1841847449 Ashley Lauren Neiswender Physician Assistant 200 Lothrop St Ste C900, Pittsburgh, PA 15213-2536 2019-08-20
Find all providers in PITTSBURGH

Competitor

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City PITTSBURGH
Zip Code 15232

Improve Information

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Dataset Information

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.

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