Upmc Community Medicine Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

UPMC COMMUNITY MEDICINE INC

Practice address

1623 Dutch LN
Hermitage, PA 16148-3010

Phone

(724) 962-3210

Fax

(724) 962-9034

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mark T Ehalt

Title

Sr Director

Phone

(412) 647-0943

Specialties & licenses 1

Addresses

Other names 1

• HORIZON ENT-UPMC Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Bethany Kaibas

  • Family Nurse Practitioner
  • New Wilmington, PA
  • NPI 1053716597
  NPD

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1093095002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 DUTCH LN",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483010",
            "telephone_number": "724-962-3210",
            "fax_number": "724-962-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 DUTCH LN",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483010",
            "telephone_number": "724-962-3210",
            "fax_number": "724-962-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC COMMUNITY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HORIZON ENT-UPMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edward Uberti
• Union Orthotics & Prosthetics Co.
• University of Pittsburgh Physicians
• Upmc Community Medcine Inc
• Upmc Community Medicine Inc
• Upmc Community Medicine Inc
• Upmc Community Medicine Inc
• Upmc Community Medicine Inc
• Upmc Community Medicine Inc
• Upmc Community Medicine Inc

• Otolaryngology Physician in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.