Active NPI
Upmc Community Medicine Inc
- Family Medicine Physician
- Monroeville, PA
National Provider Identifier
1972630747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UPMC COMMUNITY MEDICINE INC
- Practice address
- 4318 Northern Pike
Suite 103
Monroeville, PA 15146-2809 - Phone
- (412) 856-0770
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4318 Northern Pike
Suite 103
Monroeville, PA 15146-2809
Mailing address
4318 Northern Pike
Suite 103
Monroeville, PA 15146-2809
Phone (412) 856-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042490 | Other | PA | HIGHMARK MEDICARE GROUP |
Other names 1
- UPMC Keystone Primary Care-Dr.Carter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Specialist
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-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1659015345
-
- Physician Assistant
- Pittsburgh, PA
- NPI 1518396613
-
- Physician Assistant
- McKeesport, PA
- NPI 1437635687
-
- Internal Medicine Physician
- Oakmont, PA
- NPI 1700868502
-
- Physician Assistant
- Ann Arbor, MI
- NPI 1932856952
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1558771618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1972630747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 NORTHERN PIKE",
"address_2": "SUITE 103",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462809",
"telephone_number": "412-856-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 NORTHERN PIKE",
"address_2": "SUITE 103",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462809",
"telephone_number": "412-856-0770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC COMMUNITY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2007-09-05",
"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": "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 MEDICARE GROUP",
"identifier": "042490",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UPMC Keystone Primary Care-Dr.Carter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.