Provider Demographics
NPI:1902337736
Name:UPMC COMMUNITY MEDICINE, INC.
Entity Type:Organization
Organization Name:UPMC COMMUNITY MEDICINE, INC.
Other - Org Name:NESHANNOCK SURGICAL-UPMC
Other - Org Type:Other Name
Authorized Official - Title/Position:SR. MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-432-5846
Mailing Address - Street 1:26 NESBITT RD
Mailing Address - Street 2:SUITE 151
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3410
Mailing Address - Country:US
Mailing Address - Phone:724-652-3616
Mailing Address - Fax:724-656-6679
Practice Address - Street 1:26 NESBITT RD
Practice Address - Street 2:SUITE 151
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3410
Practice Address - Country:US
Practice Address - Phone:724-652-3616
Practice Address - Fax:724-656-6679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
042490Medicare PIN