Upmc Community Medcine Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

34.004448 Issued in OH

Legal business name

UPMC COMMUNITY MEDCINE INC

Practice address

149 E Main St
Andover, OH 44003-9479

Phone

(440) 293-5555

NPI assigned

Aug 19, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Family Medicine Andover Doing business as

Tax ID family

University Family Pract200 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Organizations with this tax ID in the same state 1

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

• Kinsman Medical Center - Upmc

  • Non-Pharmacy Dispensing Site
  • Kinsman, OH
  • NPI 1134466261
  NPD tax ID

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1235538828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039479",
            "telephone_number": "440-293-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC COMMUNITY MEDCINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OH",
            "license": "34.004448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Medicine Andover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapeutic Solutions, LLC
• Dora J Thomas
• Leonard Christopher Udell, LPN
• Ultrasound and Echo Cardiogram Medical Diagnostics, Inc.
• Karen Underwood
• Emily Vukovic, PHARMD
• Keith Ward
• Sarah Beth Warsing
• Jill P Wilson, LPT
• Joyce Elaine Winters, LPN

• All providers in Andover, OH
• Non-Pharmacy Dispensing Site in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.