Upmc Hamot Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

11811500 Issued in PA

Legal business name

UPMC HAMOT SURGERY CENTER, LLC

Practice address

200 State St
Erie, PA 16507-1420

Phone

(814) 453-3900

Fax

(814) 459-2867

NPI assigned

Feb 20, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Ann Boland, RN

Title

Administrative Director

Phone

(814) 480-6892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Upmc Hamot Surgery CenterCCN 39C0001096

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1487647590

  Member Of

  NPD member

Practitioners 2

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

• D Patrick Williams, DO

  • Orthopaedic Hand Surgery Physician
  • Erie, PA
  • NPI 1184647745
  NPD
• Richard William Long, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Erie, PA
  • NPI 1972586816
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1194790592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071420",
            "telephone_number": "814-453-3900",
            "fax_number": "814-459-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071420",
            "telephone_number": "814-453-3900",
            "fax_number": "814-459-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC HAMOT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "814-480-6892",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "11811500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001829301",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uplift Health LLC
• Upmc Hamot
• Upmc Hamot
• Upmc Hamot
• Upmc Hamot
• Upmc Home Healthcare of Western PA
• Upmc Home Healthcare of Western PA
• Teresa A. Upton, PH.D.
• David T. Urban, LCSW
• Richard Mark Urbanski, RPH

• Ambulatory Surgical Clinic/Center in Erie, PA
• Providers in Erie, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.