Healthcare Provider Details
I. General information
NPI: 1992031678
Provider Name (Legal Business Name): UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/30/2009
Last Update Date: 10/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 LOTHROP ST
PITTSBURGH PA
15213-2536
US
IV. Provider business mailing address
564 BIGELOW ST
PITTSBURGH PA
15207-1272
US
V. Phone/Fax
- Phone: 412-674-7338
- Fax:
- Phone: 412-521-3794
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | MT-186557 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NC2000X |
| Taxonomy | Children's Hospital |
| License Number | MT-186557 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NW0100X |
| Taxonomy | Women's Hospital |
| License Number | MT-186557 |
| License Number State | PA |
VIII. Authorized Official
Name:
PHILLIP
ORONS
Title or Position: RADIOLOGY RESIDENCY DIRECTOR
Credential: D.O.
Phone: 412-647-7338