University of Pittsburgh Physicians

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

UNIVERSITY OF PITTSBURGH PHYSICIANS

Practice address

3430 Worthington Blvd
Suite 206
Urbana, MD 21704-7017

Phone

(301) 695-6800

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Mark Ehalt

Title

Sr.Director

Phone

(412) 647-0943

Specialties & licenses 1

Addresses

Other names 1

• UPP Dept of Gastroenterology-Maryland Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699

  O20141209001529

  Same enrollment

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1467856104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD",
            "address_2": "SUITE 206",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047017",
            "telephone_number": "301-695-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD",
            "address_2": "SUITE 206",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047017",
            "telephone_number": "301-695-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PITTSBURGH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SR.DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPP Dept of Gastroenterology-Maryland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Precision Gynecology LLC
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• Katherine Ronan, LPC
• Virginia Ross
• Kaitlin Stephens, LCPC, LPC
• Urbana Primary Care LLC

• Gastroenterology Physician in Urbana, MD
• Providers in Urbana, MD by specialty
• Gastroenterology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.