Upmc Western Maryland Corporation
Organization Active NPI Psychiatry Physician · Cumberland, MD
NPI 1285779884 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1285779884
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- UPMC WESTERN MARYLAND CORPORATION
- Practice address
- 12502 Willowbrook Rd
Suite 380
Cumberland, MD 21502-6393 - Phone
- (240) 964-8585
- Fax
- (240) 964-8586
- NPI assigned
- Feb 21, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- UPMC WESTERN MARYLAND CORPORATION
Authorized official
- Name
- Amber Ruble
- Title
- Sr. VP Cfo
- Phone
- (240) 964-8032
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 18
Practitioners 205
-
Kim Jones-Fearing, M.D.
-
Diana Dawn Pryor, DNP
-
Jean H Ruiz, NP
-
Gratiela E Zbarcea, M.D.
-
Amir Pooyan Faghfoory, M.D.
-
Logan Gary Foltz, MD
-
Harish Goyal, M.D.
-
Steven F Kendell, MD
-
Jaaneali Mehdi, M.D.
-
Angela C Onwuanibe, M.D.
-
Nysa Marinda Paysour, M.D.
-
Krystal Abucevicz-Swick, CRNP
-
Christopher David Ackerman, DO, MBS
-
Hani I Alkhatib, M.D
-
Jorge Roberto Andrade, MD, MBA
-
Kheder Ashker, M.D.
-
Ama O Awuah-Asamoah, CRNP
-
Syed Zain Ayaz, M.D
-
Jennifer L Barlow, CRNP
-
Ayham M Bataineh, M.D.
-
Tiffany L Bennett, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040608000157 | MD | Part B Supplier - Clinic/Group Practice | 7113900655 |
Receives reassigned benefits from 251 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lavale, MD; Oakland, MD; MC Henry, MD; Lonaconing, MD; Frostburg, MD; Cumberland, MD |
National Provider Directory
- Tax ID family
- Steon Medical Practice
- Part of
- Steon Medical Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Neuropsychologist |
103G00000X | MD | ||
| Psychologist |
103T00000X | MD | ||
| Clinical Social Worker |
1041C0700X | MD | ||
| Psychiatry Physician |
2084P0800X | MD | Yes | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
12502 Willowbrook Rd
Suite 380
Cumberland, MD 21502-6393
Mailing address
PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8585
Other practice location 1
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 653131800 | Medicaid | MD | |
| KN31 | Other | MD | CAREFIRST BC BS |
| M093 | Other | DC | BLUE CHOICE |
| 407340100 | Medicaid | MD | |
| C10132 CE7390 | Other | MD | RAILROAD MEDICARE |
Other names
- UPMC Western Maryland
- WMHS Behavioral Health Services
Other providers in Cumberland, MD
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
All providers in Cumberland, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.