Active NPI
Upmc/HVHS Cancer Center
- Mobile Radiology Clinic/Center
- Moon Township, PA
National Provider Identifier
1063476067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008546250001 | Medicaid | PA | |
| 123067 | Other | PA | MEDICARE IDTF |
| 3810004028 | Medicaid | WV | |
| P00641712 | Other | PA | RAILROAD MEDICARE IDTF |
| 1556237 | Other | PA | HIGHMARK |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Beaver, PA
- NPI 1881672434
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- South Charleston, WV
- NPI 1871563395
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.