Healthcare Provider Details

I. General information

NPI: 1861478307
Provider Name (Legal Business Name): UPMC KANE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4372 ROUTE 6
KANE PA
16735-3060
US

IV. Provider business mailing address

600 GRANT STREET, US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON
PITTSBURGH PA
15219-2740
US

V. Phone/Fax

Practice location:
  • Phone: 814-837-8585
  • Fax: 814-837-7992
Mailing address:
  • Phone: 412-623-6303
  • Fax: 412-623-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number550501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number550501
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number550501
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number550501
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number550501
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number550501
License Number StatePA
# 8
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number550501
License Number StatePA
# 9
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number550501
License Number StatePA

VIII. Authorized Official

Name: MR. BRAD DINGER
Title or Position: CFO
Credential:
Phone: 814-837-3739