Healthcare Provider Details

I. General information

NPI: 1396052171
Provider Name (Legal Business Name): JRMC PHYSICIAN SERVICES CORPORATION - DEAN ORNISH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 FIFTH AVENUE
PITTSBURGH PA
15222-2713
US

IV. Provider business mailing address

PO BOX 18119 MOB # 310
PITTSBURGH PA
15236-0119
US

V. Phone/Fax

Practice location:
  • Phone: 412-653-1391
  • Fax: 412-653-1394
Mailing address:
  • Phone: 412-469-7932
  • Fax: 412-469-5493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT A. FRANK
Title or Position: EXECUTIVE VP & COO, CORP ADMIN
Credential:
Phone: 412-469-5487