1447231980 NPI number — JAMES HOWARD MACDOUGALL MD

Table of content: JAMES HOWARD MACDOUGALL MD (NPI 1447231980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447231980 NPI number — JAMES HOWARD MACDOUGALL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACDOUGALL
Provider First Name:
JAMES
Provider Middle Name:
HOWARD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447231980
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 BOWER HILL ROAD
Provider Second Line Business Mailing Address:
ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15243-1873
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-924-2548
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 OXFORD DR STE 305
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHEL PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15102-1841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-942-7900
Provider Business Practice Location Address Fax Number:
412-942-7918
Provider Enumeration Date:
11/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  MD027536E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0010965070002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060011917 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2061172 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1001030 . This is a "GATEWAY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 198349 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000065694 . This is a "UNISON HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 87152 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".




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