NPIMap

Organization Active NPI

Upmc Community Medicine Inc

Doing business as Northwest Urology

  • Urology Physician
  • Franklin, PA
National Provider Identifier
1851582555
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UPMC COMMUNITY MEDICINE INC
Doing business as
Northwest Urology
Practice address
464 Allegheny Blvd
Suite 2D
Franklin, PA 16323-6259
Phone
(814) 437-6797
NPI assigned
Aug 7, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

464 Allegheny Blvd
Suite 2D
Franklin, PA 16323-6259

Mailing address

464 Allegheny Blvd
Suite 2D
Franklin, PA 16323-6259
Phone (814) 437-6797

Other identifiers 1

IdentifierTypeStateIssuer
042490OtherPAHIGHMARK MEDICARE GROUP

Other names 1

  • NORTHWEST UROLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory
Tax ID family
Primecare Medical Assoc200 organizations share this tax ID, including this one

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

464 Allegheny Blvd
Ste 2D
Franklin, PA 16323
Phone (814) 432-2145

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1851582555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 ALLEGHENY BLVD",
            "address_2": "SUITE 2D",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163236259",
            "telephone_number": "814-437-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 ALLEGHENY BLVD",
            "address_2": "SUITE 2D",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163236259",
            "telephone_number": "814-437-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC COMMUNITY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-09-11",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE GROUP",
            "identifier": "042490",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.