| Family Practice Medical Associate South Inc. | |
|
1200 Brooks Ln Suite 290 Jefferson Hills PA 15025-3765 | |
| (412) 729-1500 | |
| (412) 384-2462 |
| Full Name | Family Practice Medical Associate South Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Brooks Ln, Jefferson Hills, Pennsylvania |
| Authorized Official Name and Position | Denise Noel (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4123305861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Medical Associate South Inc. 4 Allegheny Ctr Fl 7 Pittsburgh PA 15212-5255 Ph: (412) 330-5861 | Family Practice Medical Associate South Inc. 1200 Brooks Ln Suite 290 Jefferson Hills PA 15025-3765 Ph: (412) 729-1500 |
| NPI Number | 1952329914 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 5193639136 |
|---|---|
| Medicare Enrollment ID | O20031114000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952329914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda J Schuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417069576 PECOS PAC ID: 5395716088 Enrollment ID: I20040805000061 |
| Provider Name | Neelum Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649316803 PECOS PAC ID: 7214039775 Enrollment ID: I20070301000346 |
| Provider Name | James Thomas Campagna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992703052 PECOS PAC ID: 8921195645 Enrollment ID: I20071029000020 |
| Provider Name | Anthony J Ciampa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124016878 PECOS PAC ID: 2163595851 Enrollment ID: I20080714000207 |
| Provider Name | Katie F Dipasquale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134454481 PECOS PAC ID: 8729128343 Enrollment ID: I20091211000622 |
| Provider Name | Nupur Dashottar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844000 PECOS PAC ID: 1355534058 Enrollment ID: I20101026000124 |
| Provider Name | Matthew C. Portz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356364434 PECOS PAC ID: 9537186283 Enrollment ID: I20101026000194 |
| Provider Name | John Lloyd Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528075694 PECOS PAC ID: 5294929360 Enrollment ID: I20101102001271 |
| Provider Name | Dawn Minyon Sarver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033137971 PECOS PAC ID: 5698962082 Enrollment ID: I20101210000802 |
| Provider Name | Louis Komer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662260 PECOS PAC ID: 3072530724 Enrollment ID: I20110330000744 |
| Provider Name | Peter J. Gagianas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417975384 PECOS PAC ID: 8527085273 Enrollment ID: I20110411000278 |
| Provider Name | Matthew R Woleslagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770727000 PECOS PAC ID: 7315100880 Enrollment ID: I20120521000034 |
| Provider Name | Jason M Fronczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689934432 PECOS PAC ID: 7315263175 Enrollment ID: I20160622000037 |
| Provider Name | Leah Jeanette Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972045029 PECOS PAC ID: 8224318191 Enrollment ID: I20161212000580 |
| Provider Name | Bella Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407491442 PECOS PAC ID: 8224468970 Enrollment ID: I20200420002260 |
| Provider Name | Rebecca A Riemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831695592 PECOS PAC ID: 0446598122 Enrollment ID: I20210820000968 |
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