Healthcare Provider Details

I. General information

NPI: 1740404771
Provider Name (Legal Business Name): GENERAL MEDICAL PRACTITIONERS AND SPECIALISTS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/02/2025
Certification Date: 08/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 VINIAL ST STE B407
PITTSBURGH PA
15212-5151
US

IV. Provider business mailing address

PO BOX 6339
PITTSBURGH PA
15212-0339
US

V. Phone/Fax

Practice location:
  • Phone: 412-321-0255
  • Fax: 412-321-3452
Mailing address:
  • Phone: 412-321-0255
  • Fax: 412-321-3452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMD015126E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN SHIPKOVITZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 412-321-0255