Healthcare Provider Details

I. General information

NPI: 1447473632
Provider Name (Legal Business Name): UPMC WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 LEONARD AVE BLDG 2 THIRD FLOOR
WASHINGTON PA
15301-3368
US

IV. Provider business mailing address

95 LEONARD AVE BLDG 2 THIRD FLOOR
WASHINGTON PA
15301-3368
US

V. Phone/Fax

Practice location:
  • Phone: 724-223-3256
  • Fax: 724-229-2379
Mailing address:
  • Phone: 724-223-3256
  • Fax: 724-229-2379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number230201
License Number StatePA

VIII. Authorized Official

Name: DR. LAUREN K O'BRIEN
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 724-223-3548