| East Liberty Family Health Care Center, Inc. | |
|
7157 Mary Peck Bond Pl Pittsburgh PA 15206-1236 | |
| (412) 661-2802 | |
| Not Available |
| Full Name | East Liberty Family Health Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7157 Mary Peck Bond Pl, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Brian J King (CFO) |
| Authorized Official Contact | 4123450412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Liberty Family Health Care Center, Inc. 6023 Harvard St Pittsburgh PA 15206-3053 Ph: (412) 661-2802 | East Liberty Family Health Care Center, Inc. 7157 Mary Peck Bond Pl Pittsburgh PA 15206-1236 Ph: (412) 661-2802 |
| NPI Number | 1790443711 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 2163496084 |
|---|---|
| Medicare Enrollment ID | O20040825000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790443711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | David A Blandino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053363283 PECOS PAC ID: 4385558709 Enrollment ID: I20031205000344 |
| Provider Name | Joy L Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205835709 PECOS PAC ID: 3476534611 Enrollment ID: I20040525001088 |
| Provider Name | Diane Balestrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124081369 PECOS PAC ID: 3274592068 Enrollment ID: I20041007000376 |
| Provider Name | Nicola S Gray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982677878 PECOS PAC ID: 8325077837 Enrollment ID: I20050804001139 |
| Provider Name | Amy L Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245299205 PECOS PAC ID: 5395844666 Enrollment ID: I20070627000363 |
| Provider Name | Kevin Russell Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760684740 PECOS PAC ID: 1658465174 Enrollment ID: I20070914000252 |
| Provider Name | John W Uber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821153099 PECOS PAC ID: 7911073499 Enrollment ID: I20080908000026 |
| Provider Name | Mindhuc P Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356504179 PECOS PAC ID: 1254487960 Enrollment ID: I20090922000570 |
| Provider Name | Rudolph Mccomb |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609095389 PECOS PAC ID: 0941362339 Enrollment ID: I20090928000685 |
| Provider Name | Eileen Moore Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336162023 PECOS PAC ID: 4082803150 Enrollment ID: I20110217000892 |
| Provider Name | Krista L Cooke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750566485 PECOS PAC ID: 0941482996 Enrollment ID: I20110311000347 |
| Provider Name | Carey T Vinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518952993 PECOS PAC ID: 9436333929 Enrollment ID: I20110407000235 |
| Provider Name | Jessica Diggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295989937 PECOS PAC ID: 6507042561 Enrollment ID: I20110510000068 |
| Provider Name | David George Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801877097 PECOS PAC ID: 5991994063 Enrollment ID: I20110512000639 |
| Provider Name | Richard K Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356317333 PECOS PAC ID: 4486831955 Enrollment ID: I20110609000351 |
| Provider Name | Juanita L Thorpe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588958847 PECOS PAC ID: 3274702162 Enrollment ID: I20110810000427 |
| Provider Name | April R Scassera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235422528 PECOS PAC ID: 4789839077 Enrollment ID: I20130313000390 |
| Provider Name | Joseph Lee Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780860080 PECOS PAC ID: 1456401769 Enrollment ID: I20130314000295 |
| Provider Name | Sima Anna Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255516076 PECOS PAC ID: 6406939776 Enrollment ID: I20130318000034 |
| Provider Name | Sean Francis Weldon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326269234 PECOS PAC ID: 2860412319 Enrollment ID: I20150824001023 |
| Provider Name | Annette L Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265806756 PECOS PAC ID: 3274838644 Enrollment ID: I20160223000641 |
| Provider Name | Charles W Bemm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578009114 PECOS PAC ID: 5698050094 Enrollment ID: I20171127000327 |
| Provider Name | Kristine S Cloonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619323292 PECOS PAC ID: 6901166941 Enrollment ID: I20180212001776 |
| Provider Name | Amaris A Yandel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548673783 PECOS PAC ID: 2769775279 Enrollment ID: I20180912000698 |
| Provider Name | Shiela Ghanooni |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831260124 PECOS PAC ID: 7618262288 Enrollment ID: I20181206003356 |
| Provider Name | Ana C Aguilar Cordova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740660851 PECOS PAC ID: 9830490887 Enrollment ID: I20190415000773 |
| Provider Name | Tracee J Kirkland Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346872033 PECOS PAC ID: 0042621690 Enrollment ID: I20201203000050 |
| Provider Name | Laura Ann Bucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316477839 PECOS PAC ID: 3072882471 Enrollment ID: I20210706000082 |
| Provider Name | Solomiya Teterichko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861886012 PECOS PAC ID: 8325316870 Enrollment ID: I20210723000560 |
| Provider Name | Laura Leiden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699281923 PECOS PAC ID: 9335543636 Enrollment ID: I20210809003368 |
| Provider Name | Juana C. Horn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396806972 PECOS PAC ID: 5092029041 Enrollment ID: I20210927000334 |
| Provider Name | Shantal Nicole Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447747746 PECOS PAC ID: 4587910641 Enrollment ID: I20220110000347 |
| Provider Name | Steven F Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639831209 PECOS PAC ID: 9234522822 Enrollment ID: I20220202002799 |
| Provider Name | Molly Anne Mcandrew |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336808294 PECOS PAC ID: 5294112728 Enrollment ID: I20220523000064 |
| Provider Name | Sharon J Magan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306859947 PECOS PAC ID: 3173901162 Enrollment ID: I20220603000004 |
| Provider Name | Erika D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083369870 PECOS PAC ID: 9931581444 Enrollment ID: I20220801000240 |
| Provider Name | Gregory Charles Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346258837 PECOS PAC ID: 5092178061 Enrollment ID: I20230824002111 |
| Provider Name | Christy Mccoy Martsolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346928157 PECOS PAC ID: 2163885716 Enrollment ID: I20230829003801 |
| Provider Name | Leon Cherney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477249050 PECOS PAC ID: 2860841624 Enrollment ID: I20231206000630 |
| Provider Name | Laura Michelle Galvas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447028097 PECOS PAC ID: 9234582982 Enrollment ID: I20240129003806 |
| Provider Name | Eboni Davaughn Howell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720427677 PECOS PAC ID: 6608213822 Enrollment ID: I20240325000316 |
| Provider Name | Amanda Rose Hohan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144614801 PECOS PAC ID: 5597107771 Enrollment ID: I20240521000988 |
| Provider Name | Aisha Jasani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033621131 PECOS PAC ID: 1254744162 Enrollment ID: I20240618000557 |
| Provider Name | Chuntina White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558100743 PECOS PAC ID: 6709321540 Enrollment ID: I20240716003776 |
| Provider Name | Sangeeta Manuel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831238823 PECOS PAC ID: 0648330373 Enrollment ID: I20241114002270 |
Heritage Valley Multispecialty Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Park Manor Blvd, Pittsburgh, PA 15205 Phone: 412-749-6920 Fax: 412-749-6779 | |
St. Clair Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - Pamalyn, Pittsburgh, PA 15243 Phone: 412-942-2548 | |
Pittsburgh Family Practice Assoc., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 Forbes Ave, Pittsburgh, PA 15219 Phone: 412-232-3555 Fax: 412-232-3523 | |
Allegheny Endocrinology Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 E North Avenue, Suite 205, Pittsburgh, PA 15212 Phone: 412-359-3426 Fax: 412-359-6974 | |
Donna L. Knupp Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 Murray Ave, Pittsburgh, PA 15217 Phone: 412-521-2857 Fax: 412-521-4918 | |
University Of Pittsburgh Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 Centre Ave, First Floor, Pittsburgh, PA 15232 Phone: 412-647-3087 Fax: 412-647-4050 |