Upmc Carlisle
Organization Active NPI Ambulatory Surgical Clinic/Center · Carlisle, PA
NPI 1972038826 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1972038826
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- UPMC CARLISLE
- Practice address
- 361 Alexander Spring Rd
Carlisle, PA 17015-6940 - Phone
- (717) 960-3354
- NPI assigned
- Apr 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Patrice A Taleff
- Title
- VP, Revenue Cycle
- Phone
- (717) 230-3790
Owners & managing parties with NPI records 3
-
William S. Kauffman, M.D.
-
Christopher John Sneider, M.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 5
Related certifications (CCN) 1
Affiliated clinicians 677
-
Ahmad Reza Abrishamchian, M.D.
-
Ravi Dilipkumar Acharya, M.D.
-
Timothy S Ackerman, D.O.
-
Rabin Adhikari, MD
-
Anthony John Agbay Jr., D.O.
-
Shweta Aggarwal, MD
-
Okan Ihsan Akay, M.D.
-
Samer S Al Masri, MD
-
Nicholas Amalfetano, DPM
-
Jude V Amara, CRNA
-
Awais Ammar, MD
-
Katelyn Marie Anderson, PA-C
-
Parul Aneja, MD
-
Rashid Anjum, MD
-
Sanam Anwer, M.D
-
William P Apollo, M.D.
-
John Kyle Armbrust, PA-C
Medicare Care Compare: Hospital
- Listed as
- Upmc Carlisle
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospital certification: CCN 390058
- Legal name
- UPMC CARLISLE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jun 8, 2023
- Beds
- 165 (131 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jul 1, 2017 (6 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 361 Alexander Spring Rd
Carlisle, PA 17015-6940 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Upmc Pinnacle |
5% Or Greater Direct Ownership Interest | Jul 1, 2017 | 100% |
| Megan Riesmeyer |
Corporate Director |
Jul 1, 2016 | |
| Chavone Dantrell Momon-Nelson |
Corporate Director |
Jul 1, 2025 | |
| Kenneth Tuckey |
Corporate Officer |
Jul 1, 2001 | |
| Julio I Sola |
Corporate Director |
Jan 1, 2023 | |
| Gregory Mitstifer |
Corporate Officer |
Mar 1, 2024 | |
| W-2 Managing Employee |
Mar 1, 2024 | ||
| Omar Shute |
Corporate Director |
Jul 1, 2022 | |
| Christina Persson |
Corporate Officer |
Jul 1, 2025 | |
| Corporate Director |
Jul 1, 2025 | ||
| David P Gibbons |
Corporate Director |
Sep 1, 2023 | |
| Christopher J Sneider |
Corporate Officer |
Jul 1, 2021 | |
| Jeffrey Gayman |
Corporate Officer |
Jul 1, 2012 | |
| Elizabeth Ritter |
Corporate Officer |
Sep 24, 2024 | |
| Brandon Stewart |
Corporate Director |
Mar 25, 2025 | |
| Upmc |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 100% |
| Joshua S Wedge |
Corporate Officer |
Jul 1, 2025 | |
| William S. Kauffman |
Corporate Director |
Jul 1, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170710000197 | PA | Part a Provider - Hospital | 7517236490 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carlisle, PA; Shippensburg, PA |
National Provider Directory
- Tax ID family
- Upmc Carlisle
Locations
1533 Commerce Ave
Ste 3
Carlisle, PA 17015
Phone (717) 245-5838
220 Wilson St
Ste 102
Carlisle, PA 17013
Phone (717) 243-2040
2808 Old Post Rd
Ste 102
Harrisburg, PA 17110
Phone (717) 920-4545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Mailing address
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 960-3354
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103355781 | Medicaid | PA |
Other providers in Carlisle, PA
- Samantha Updegraff
- Upmc Carlisle
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- Upmc Carlisle
- Urgent Care Travel, Inc
- Lauren Kelsey Urich
- Bradley Vancosky
- Denae Vanetten
All providers in Carlisle, PA · Ambulatory Surgical Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.