NPIMap

Organization Active NPI

Upmc Keystone Primary Care - DRS. Ou and Tong

  • Non-Pharmacy Dispensing Site
  • Monroeville, PA
National Provider Identifier
1306140546
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD030177E Issued in PA
Legal business name
UPMC KEYSTONE PRIMARY CARE - DRS. OU AND TONG
Practice address
1000 Infinity Dr
210
Monroeville, PA 15146-2062
Phone
(724) 327-6913
NPI assigned
Jan 3, 2011
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2016

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) 625-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD030177E PA Primary

Addresses

Primary practice location

1000 Infinity Dr
210
Monroeville, PA 15146-2062

Mailing address

9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701

National Provider Directory

National Provider Directory
Tax ID family
Primecare Medical Assoc200 organizations share this tax ID, including this one
Part of
Medvantx Inc

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

1000 Infinity Dr
Ste 210
Monroeville, PA 15146
Phone (724) 327-6913

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1306140546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 INFINITY DR",
            "address_2": "210",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462062",
            "telephone_number": "724-327-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC KEYSTONE PRIMARY CARE - DRS. OU AND TONG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2011-01-03",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD030177E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.