NPIMap

Organization Active NPI

Upmc Community Medicine, Inc.

  • Internal Medicine Physician
  • Hermitage, PA
National Provider Identifier
1225498108
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UPMC COMMUNITY MEDICINE, INC.
Practice address
2151 Shenango Valley Fwy
Hermitage, PA 16148-2586
Phone
(724) 981-5613
Fax
(724) 981-4790
NPI assigned
Mar 4, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Molly Caldwell
Title
Sr. Manager, Pec
Phone
(412) 432-5846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2151 Shenango Valley Fwy
Hermitage, PA 16148-2586

Mailing address

2151 Shenango Valley Fwy
Hermitage, PA 16148-2586
Phone (724) 981-5613

Other names 1

  • Hermitage Internal Medicine-UPMC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory
Tax ID family
Primecare Medical Assoc200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2151 Shenango Valley Fwy
Sharon, PA 16148
Phone (724) 346-5516

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1225498108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482586",
            "telephone_number": "724-981-5613",
            "fax_number": "724-981-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482586",
            "telephone_number": "724-981-5613",
            "fax_number": "724-981-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC COMMUNITY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "SR. MANAGER, PEC",
        "authorized_official_telephone_number": "412-432-5846"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Internal Medicine-UPMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.