Healthcare Provider Details

I. General information

NPI: 1013225648
Provider Name (Legal Business Name): UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11279 PERRY HWY SUITE 204
WEXFORD PA
15090
US

IV. Provider business mailing address

PO BOX 382007
PITTSBURGH PA
15251-8007
US

V. Phone/Fax

Practice location:
  • Phone: 724-933-3910
  • Fax: 724-933-4508
Mailing address:
  • Phone: 724-933-1100
  • Fax: 724-933-1160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD048463L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NICHOLAS J BARCELLONA
Title or Position: PRESIDENT
Credential:
Phone: 412-692-7331