JACQUELINE ELAINE FITTON DO
Complete NPI Record 1992267967
Hospitalist in Pittsburgh, PA

NPI Status: Active since April 01, 2019

Contact Information

320 E NORTH AVE
PITTSBURGH, PA
ZIP 15212
Phone: (412) 359-4971

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Complete NPI Dataset

This page represents the complete record for NPI 1992267967. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1992267967
The fax number associated with the location address of the provider being identified.
Entity Type Code: 1
The date the provider was assigned a unique identifier (assigned an NPI).
The date that a record was last updated or changed.
Provider First Name: JACQUELINE
The code designating the provider’s gender if the provider is a person.
Provider Middle Name: ELAINE
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Credential Text: DO
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider First Line Business Mailing Address: 320 E NORTH AVE
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Mailing Address City Name: PITTSBURGH
Provider Business Mailing Address State Name: PA
Provider Business Mailing Address Postal Code: 152124756
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Mailing Address Country Code If outside U S : US
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Mailing Address Telephone Number: 4123594971
Provider First Line Business Practice Location Address: 320 E NORTH AVE
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider Business Practice Location Address City Name: PITTSBURGH
Provider Business Practice Location Address State Name: PA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 152124756
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4123594971
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/1/2019
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 10/20/2022
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 390200000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 208M00000X
Provider License Number 2: OS022239
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 10/20/2022