Organization Active NPI

Upmc/HVHS Cancer Center

  • Mobile Radiology Clinic/Center
  • Moon Township, PA
National Provider Identifier
1063476067
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
UPMC/HVHS CANCER CENTER
Practice address
1600 Coraopolis Heights Rd
Moon Township, PA 15108-4316
Phone
(412) 604-2020
Fax
(412) 604-2046
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles E Bogosta
Title
Vice President
Phone
(412) 692-2451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

1600 Coraopolis Heights Rd
Moon Township, PA 15108-4316

Mailing address

2 Hot Metal St
Quantum One N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706

Other identifiers 5

IdentifierTypeStateIssuer
1008546250001MedicaidPA
123067OtherPAMEDICARE IDTF
3810004028MedicaidWV
P00641712OtherPARAILROAD MEDICARE IDTF
1556237OtherPAHIGHMARK

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1063476067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7706",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084316",
            "telephone_number": "412-604-2020",
            "fax_number": "412-604-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC/HVHS CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BOGOSTA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "412-692-2451"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008546250001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDTF",
            "identifier": "123067",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004028",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IDTF",
            "identifier": "P00641712",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1556237",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.