NPIMap

Organization Active NPI

Upmc Washington

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1922077205
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPMC WASHINGTON
Practice address
95 Leonard Ave
BLDG 2
Washington, PA 15301-3368
Phone
(724) 223-3100
Fax
(724) 223-3353
NPI assigned
Mar 17, 2006
Organization subpart
Yes
Parent organization
THE WASHINGTON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Lauren O'Brien, MDNPI 1043447642
Title
Associate Director
Phone
(724) 223-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

95 Leonard Ave
BLDG 2
Washington, PA 15301-3368

Mailing address

95 Leonard Ave
BLDG 2
Washington, PA 15301-3368
Phone (724) 223-3100

Other identifiers 3

IdentifierTypeStateIssuer
904324OtherHIGHMARK
010941730OtherUMWA
119676300OtherDEPT OF LABOR

Other names 1

  • Washington Hospital Family Medicine Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000827 PA Part B Supplier - Hospital Department(S) 0446159313 Receives reassigned benefits from 55 practitioners
Practice locations: Canonsburg, PA; Cecil, PA; Washington, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Washington Hosp Lab12 organizations share this tax ID, including this one
Part of
Washington Hosp Lab

Other organizations with this tax ID 11

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

Locations

84 W Wheeling St
Washington, PA 15301
Phone (724) 222-8530

95 Leonard Ave
Bldg 23
Washington, PA 15301

95 Leonard Ave
Bldg 22
Washington, PA 15301

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upmc GreeneWaynesburg, PA, CCN 39U150 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Upmc GreeneWaynesburg, PA, CCN 390150 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Concordia Visiting NursesCabot, PA, CCN 397717 Home health agency 5% Or Greater Direct Ownership Interest (12%) Sep 1, 2015
Concordia Community Support ServicesWashington, PA, CCN 391519A Hospice 5% Or Greater Direct Ownership Interest (30%) May 24, 2016

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1922077205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100",
            "fax_number": "724-223-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100",
            "fax_number": "724-223-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WASHINGTON HOSPITAL",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "724-223-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "904324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "010941730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "119676300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Hospital Family Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Washington Hospital Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.