Active NPI
Upmc Community Medicine Inc
Doing business as Koenig Family Practice Upmc
- Family Medicine Physician
- Clarion, PA
National Provider Identifier
1215053939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UPMC COMMUNITY MEDICINE INC
- Doing business as
- Koenig Family Practice Upmc
- Practice address
- 342 S 5TH Ave
Clarion, PA 16214-6010 - Phone
- (814) 797-1126
- NPI assigned
- Mar 22, 2007
- Last updated
- Nov 9, 2007
- 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
- Mark Ehalt
- Title
- Director
- Phone
- (412) 647-0943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
342 S 5TH Ave
Clarion, PA 16214-6010
Mailing address
342 South Fifth Ave
Clarion, PA 16124
Phone (814) 797-1126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1382587 | Other | PA | HIGHMARK GROUP |
Other names 1
- KOENIG FAMILY PRACTICE UPMC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000388 | PA | Part B Supplier - Clinic/Group Practice | 2062318975 |
Receives reassigned benefits from 1,494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- New Castle, PA
- NPI 1215203443
-
- Certified Registered Nurse Anesthetist
- Pittsburgh, PA
- NPI 1548235245
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Indiana, PA
- NPI 1376794578
-
- Family Nurse Practitioner
- Bethel Park, PA
- NPI 1205016581
-
- Critical Care Medicine (Internal Medicine) Physician
- Greenville, NC
- NPI 1326242173
-
- Clinical Cardiac Electrophysiology Physician
- Columbia, SC
- NPI 1235392093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1215053939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 SOUTH FIFTH AVE",
"city": "CLARION",
"state": "PA",
"postal_code": "16124",
"telephone_number": "814-797-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 S 5TH AVE",
"city": "CLARION",
"state": "PA",
"postal_code": "162146010",
"telephone_number": "814-797-1126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC COMMUNITY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2007-11-09",
"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": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK GROUP",
"identifier": "1382587",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KOENIG FAMILY PRACTICE UPMC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarion, PA
- Uhs of Pennsylvania Inc (Clarion Psychiatric Center)
- Uhs of Pennsylvania Inc (Clarion Psychiatric Center)
- Uhs of Pennsylvania, Inc (Clarion Psychiatric Center)
- Rochelle Elizabeth Umana-Hernandez
- University of Pittsburgh Physicians (UPMC Urgent Care at Clarion)
- Upmc Community Medicine Inc (Clarion Community Medicine-Upmc)
- Upmc Community Medicine Inc (Clarion Family Practice - UPMC)
- Paul Valigorsky III
- Dirk Vandermeer, OD
- Christina E Vanepps, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.