Active NPI
Upmc Community Medicine Inc
Doing business as Horizon Rheumatology UPMC
- Rheumatology Physician
- Greenville, PA
National Provider Identifier
1437285996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- UPMC COMMUNITY MEDICINE INC
- Doing business as
- Horizon Rheumatology UPMC
- Practice address
- 30 Conneaut Lake Rd
Greenville, PA 16125-2167 - Phone
- (724) 588-1082
- NPI assigned
- Feb 26, 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
30 Conneaut Lake Rd
Greenville, PA 16125-2167
Mailing address
30 Conneaut Lake Rd
Greenville, PA 16125-2167
Phone (724) 588-1082
Other names 1
- Horizon Rheumatology 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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437285996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CONNEAUT LAKE RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252167",
"telephone_number": "724-588-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CONNEAUT LAKE RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252167",
"telephone_number": "724-588-1082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC COMMUNITY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"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": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Horizon Rheumatology UPMC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, PA
- Carolyn Theriault, OTR/L
- Cara Tofani
- Jill M. Trotter, PT
- Crystal Uber
- University of Pittsburgh Physicians
- Upmc Community Medicine Inc
- Upmc Community Medicine Inc (Greenville/Horizon Surgical Associates UPMC)
- Upmc Community Medicine Inc (Horizon Surgical Associates Upmc)
- Upmc Community Medicine Inc (Greenville Medical Center UPMC)
- Upmc Horizon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.