NPIMap

Organization Active NPI

Upmc Jameson

  • Ambulatory Surgical Clinic/Center
  • New Castle, PA
National Provider Identifier
1609920206
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
101201 Issued in PA
Legal business name
UPMC JAMESON
Practice address
1211 Wilmington Ave
New Castle, PA 16105-2516
Phone
(724) 658-9001
Fax
(724) 656-4230
NPI assigned
Jan 22, 2007
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC JAMESONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Mr. Brian Fritz
Title
Cfo
Phone
(412) 748-6805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 101201 PA Primary

Addresses

Primary practice location

1211 Wilmington Ave
New Castle, PA 16105-2516

Mailing address

600 Grant St, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 1

IdentifierTypeStateIssuer
1000021890020MedicaidPA

Other names 1

  • UPMC JAMESON SHORT PROCEDURE UNIT Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090601000264 PA Part A Provider - Hospital 0042128118 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Castle, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609920206. Details of each certification follow.

Hospital certification: CCN 390016

Legal name
UPMC JAMESON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 14, 2002
Beds
175 (123 certified)
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1941 in PA
Enrollment address
1211 Wilmington Ave
New Castle, PA 16105-2516
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc JamesonCCN 390016 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Radiology Jameson Mem H7 organizations share this tax ID, including this one
Part of
Radiology Jameson Mem H

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2010 W State St
New Castle, PA 16101
Phone (724) 658-4688

26 Nesbitt Rd
Fl 2
New Castle, PA 16105
Phone (724) 656-4220

3124 Wilmington Rd
Ste 301
New Castle, PA 16105
Phone (724) 656-4220

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Grande Individual Corporate DirectorBoard Member May 1, 2016
David J Patton Individual Corporate DirectorHospital President Aug 1, 2024
W-2 Managing EmployeeHospital President Aug 1, 2024
Christopher a Wright Individual OtherNon-Voting Board Representative Jan 23, 2016
Kenneth Romig Individual Corporate DirectorBoard Member May 1, 2016
Shakyryn Napler Individual OtherVP, Patient Care Services Sep 9, 2024
Donald M Yealy Individual Corporate DirectorBoard Member May 1, 2016
Tulio Estrada-Quintero Individual Corporate DirectorBoard Member Jan 29, 2008
Michael Tracy Individual Corporate OfficerCfo Jan 16, 2022
W-2 Managing EmployeeCfo Jan 16, 2022
Cheryl Kimmel Individual Corporate DirectorBoard Member May 1, 2016
James C Miller Individual Corporate DirectorBoard Member Apr 28, 2016
Kevin Macdonald Individual OtherVP, Operations Jun 30, 2025
Kathryn Lima Individual Corporate DirectorBoard Member May 1, 2023
Louis Merryman Individual Corporate DirectorBoard Member May 1, 2016
Linda Evans Individual Corporate DirectorBoard Member Jan 25, 2011
Ronald McCall Individual Corporate OfficerSecretary Jan 25, 2011
Corporate DirectorBoard Member Jan 25, 2011
Gayle Young Individual Corporate DirectorBoard Member May 1, 2023
Jay Bruce Individual Corporate OfficerTreasurer May 1, 2016
Corporate DirectorBoard Member May 1, 2016
Joel Philip Yuhas Individual Corporate DirectorBoard Member Jul 1, 2023
Hendley Hoge Individual Corporate DirectorBoard Member Jan 25, 2011
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2016 100%
Frank Mindicino Individual Corporate DirectorBoard Chairman May 1, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 501

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 501

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1609920206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT ST, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 WILMINGTON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052516",
            "telephone_number": "724-658-9001",
            "fax_number": "724-656-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC JAMESON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC JAMESON",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-748-6805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "101201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021890020",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1211 Wilmington Ave",
            "city": "New Castle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161052516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UPMC JAMESON SHORT PROCEDURE UNIT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UPMC JAMESON SHORT PROCEDURE UNIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.