Organization Active NPI

Sewickley Medical Oncology Hematology Group-Upci

  • Hematology & Oncology Physician
  • Moon Township, PA
National Provider Identifier
1841267275
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SEWICKLEY MEDICAL ONCOLOGY HEMATOLOGY GROUP-UPCI
Practice address
1600 Coraopolis Heights Rd
Suite F
Moon Township, PA 15108-4316
Phone
(412) 329-2500
Fax
(412) 329-2540
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Charles E Bogosta
Title
Vice President - Cancer Services
Phone
(412) 692-2451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Clinical Medical Laboratory 291U00000X 39D1027607 PA

Addresses

Primary practice location

1600 Coraopolis Heights Rd
Suite F
Moon Township, PA 15108-4316

Mailing address

2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706

Other identifiers 5

IdentifierTypeStateIssuer
951583OtherPAHIGHMARK
0018806270007MedicaidPA
0018806270008OtherPACLIA LAB
2517655MedicaidOH
3810011966MedicaidWV

National Provider Directory

National Provider Directory

Locations

720 Blackburn Rd
Ste 424
Sewickley, PA 15143
Phone (412) 749-7144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1841267275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7706",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD",
            "address_2": "SUITE F",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084316",
            "telephone_number": "412-329-2500",
            "fax_number": "412-329-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWICKLEY MEDICAL ONCOLOGY HEMATOLOGY GROUP-UPCI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "BOGOSTA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT - CANCER SERVICES",
        "authorized_official_telephone_number": "412-692-2451"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D1027607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "951583",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018806270007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB",
            "identifier": "0018806270008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517655",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011966",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.