Healthcare Provider Details

I. General information

NPI: 1740248020
Provider Name (Legal Business Name): UNIVERSITY OF PITTSBURGH PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 WILKINS AVE STE 100
PITTSBURGH PA
15217-1282
US

IV. Provider business mailing address

2 HOT METAL STREET QUANTUM ONE BLDG. 3RD FLOOR
PITTSBURGH PA
15203-2348
US

V. Phone/Fax

Practice location:
  • Phone: 412-366-2367
  • Fax: 412-366-2368
Mailing address:
  • Phone: 412-432-7469
  • Fax: 412-647-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PATTY DEVLIN
Title or Position: DIRECTOR, REVENUE CYCLE
Credential:
Phone: 412-432-7469