Upmc Community Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UPMC COMMUNITY MEDICINE INC

Practice address

3104 Unionville Rd
Suite 180 Cranberry Business Park
Cranberry TWP, PA 16066-3415

Phone

(724) 772-2664

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mark Ehalt

Title

Director

Phone

(412) 647-0943

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DRS GOLD KOCHICK ASSOCIATES UPMC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Alyssa Kathleen Bruehlman, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1104350529
  NPD
• Gordon Gold

  • Specialist
  • Cranberry TWP, PA
  • NPI 1336112960
  NPD
• Timothy J Lowe, PA-C

  • Surgical Physician Assistant
  • Pittsburgh, PA
  • NPI 1457720807
  NPD
• Valerie A Ranone, PA-C

  • Surgical Physician Assistant
  • New Castle, PA
  • NPI 1649722117
  NPD
• Seth Ryan Rubin, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1235102542
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1154447969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 180 CRANBERRY BUSINESS PARK",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160663415",
            "telephone_number": "724-772-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 180 CRANBERRY BUSINESS PARK",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160663415",
            "telephone_number": "724-772-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC COMMUNITY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "611858",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS GOLD KOCHICK ASSOCIATES UPMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri-State Medical Group, Inc
• Laura Nicole Troxell
• Matthew Trozzo
• Kristy L. Tully, PA-C
• Upmc
• Christina Van Patter, LCSW
• Lauren Vance, PA-C
• Marissa Vetica
• Lynn M Vissotski
• VP Counseling

• Family Medicine Physician in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.