1295156958 NPI number — UNIVERSITY OF PITTSBURGH MEDICAL CENTER

Table of content: (NPI 1295156958)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295156958 NPI number — UNIVERSITY OF PITTSBURGH MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295156958
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11057 HUNTERS WOODS LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HUNTINGDON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15642
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-916-6008
Provider Business Mailing Address Fax Number:
412-623-5990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5115 CENTRE AVENUE
Provider Second Line Business Practice Location Address:
AG70.15 PREVENTION AND EARLY DETECTION SUITE
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232-1940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-634-6901
Provider Business Practice Location Address Fax Number:
412-623-5990
Provider Enumeration Date:
12/26/2013

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
O
Authorized Official Title or Position:
PULMONARY MEDICINE
Authorized Official Telephone Number:
412-687-3355

Provider Taxonomy Codes

  • Taxonomy code: 261QR1100X , with the licence number:  UP004331B , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: $$$$$$$$$ . This is a "SOCIAL SECURITY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com