MEDICARE: UPMC COMMUNITY MEDICINE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician

General Provider Information

NPI Number	:	1043618911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC COMMUNITY MEDICINE INC

Provider Business Mailing Address
First Line	:	3120 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1168
Country	:	US
Telephone Number	:	724-658-5311
Fax Number	:	724-752-1901

Provider Business Practice Location Address
First Line	:	3120 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1168
Country	:	US
Telephone Number	:	724-658-5311
Fax Number	:	724-752-1901

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PATRICIA DEVLIN
Credential	:
Telephone Number	:	412-432-7469

Provider Enumeration Date	:	12/09/2014
Last Update Date	:	04/27/2021

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