| Concordia Physician Practice | |
|
112 Marwood Road #5000 Cabot PA 16023-2245 | |
| (724) 352-4448 | |
| (724) 352-4412 |
| Full Name | Concordia Physician Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Marwood Road #5000, Cabot, Pennsylvania |
| Authorized Official Name and Position | Keith E Frndak (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7243521571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concordia Physician Practice 112 Marwood Road #5000 Cabot PA 16023-2245 Ph: (724) 352-4448 | Concordia Physician Practice 112 Marwood Road #5000 Cabot PA 16023-2245 Ph: (724) 352-4448 |
| NPI Number | 1699153247 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 05/15/2015 |
| Medicare PECOS PAC ID | 8820300387 |
|---|---|
| Medicare Enrollment ID | O20150713000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699153247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dina Cecere Dosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902946650 PECOS PAC ID: 6002892791 Enrollment ID: I20040624001246 |
| Provider Name | Marc H Oster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508813809 PECOS PAC ID: 3779588082 Enrollment ID: I20060920000209 |
| Provider Name | Grant J Shevchik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501793 PECOS PAC ID: 1254528458 Enrollment ID: I20101214000999 |
| Provider Name | Daniel P Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235581117 PECOS PAC ID: 7719265222 Enrollment ID: I20161102002657 |
| Provider Name | Stephanie M Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689188278 PECOS PAC ID: 6204195233 Enrollment ID: I20180118002597 |
| Provider Name | Terrance Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124656178 PECOS PAC ID: 3577994185 Enrollment ID: I20200515000550 |
| Provider Name | Saied A Sanjari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730744053 PECOS PAC ID: 9335529726 Enrollment ID: I20220701000315 |
Allegheny Medical Practice Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Marwood Rd, Suite 1, Cabot, PA 16023 Phone: 412-486-8677 Fax: 412-486-8415 |