Healthcare Provider Details

I. General information

NPI: 1568427532
Provider Name (Legal Business Name): UNIVERSITY OF PITTSBURGH PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 CENTRE AVENUE
PITTSBURGH PA
15232-1381
US

IV. Provider business mailing address

200 LOTHROP ST 9048A FORBES TOWER
PITTSBURGH PA
15213-2546
US

V. Phone/Fax

Practice location:
  • Phone: 412-432-5864
  • Fax:
Mailing address:
  • Phone: 412-647-0943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

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