Healthcare Provider Details

I. General information

NPI: 1275953929
Provider Name (Legal Business Name): JASON CONWAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

P O BOX 1000 DEPT 351
MEMPHIS TN
38148-0001
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3030
  • Fax: 412-359-3060
Mailing address:
  • Phone: 901-758-9900
  • Fax: 901-752-2335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD462868
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD462868
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: