Provider Demographics
NPI:1205969532
Name:COMMUNITY FAMILY PRACTICE ASSOCIATES
Entity type:Organization
Organization Name:COMMUNITY FAMILY PRACTICE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-271-1065
Mailing Address - Street 1:2020 ARDMORE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4608
Mailing Address - Country:US
Mailing Address - Phone:412-271-1065
Mailing Address - Fax:412-271-1068
Practice Address - Street 1:1310 HOFFMAN BLVD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2301
Practice Address - Country:US
Practice Address - Phone:412-462-6255
Practice Address - Fax:412-462-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113572OtherHEALTH AM HA GROUP
PA029BMedicaid
PA100757603Medicaid
PA755723OtherHIGHMARK GROUP
PA1522679Medicaid
PA755723OtherHIGHMARK GROUP
PA755723OtherHIGHMARK GROUP
PA1522679Medicaid