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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1053611012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC COMMUNITY MEDICINE INC

Provider Business Mailing Address
First Line	:	1600 WILDLIFE LODGE RD
Second Line	:
City	:	LOWER BURRELL
State	:	PA
Zip	:	15068-3652
Country	:	US
Telephone Number	:	724-226-1400
Fax Number	:	724-226-1460

Provider Business Practice Location Address
First Line	:	1600 WILDLIFE LODGE RD
Second Line	:
City	:	LOWER BURRELL
State	:	PA
Zip	:	15068-3652
Country	:	US
Telephone Number	:	724-226-1400
Fax Number	:	724-226-1460

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. MARK T EHALT
Credential	:
Telephone Number	:	412-647-0943

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	10/25/2010

Similar Medicare Providers

1346544749 — UPMC COMMUNITY MEDICINE INC
Practice Location Address:

1600 WILDLIFE LODGE RD , SUITE 100
LOWER BURRELL, PA
15068-3652

Practice Phone: 724-334-2000
Practice Fax: 724-334-4500

1154364990 — TODD A SLEZAK CRNP
Practice Location Address:

1600 WILDLIFE LODGE RD STE 1
NEW KENSINGTON, PA
15068-3652

Practice Phone: 243-359-7337
Practice Fax: 243-359-7347

1609357631 — MRS. AUBREE MARIE CHURILLA LCSW
Practice Location Address:

1600 WILDLIFE LODGE RD STE 1
NEW KENSINGTON, PA
15068-3652

Practice Phone: 724-335-9733
Practice Fax:

1528717667 — CYANA ROSE CAPELLO
Practice Location Address:

1600 WILDLIFE LODGE RD STE 1
NEW KENSINGTON, PA
15068-3652

Practice Phone: 724-335-9733
Practice Fax:

1730034802 — MASA MARIE WALKER LPN
Practice Location Address:

125 LOGANS FERRY RD STE 2
LOWER BURRELL, PA
15068-2048

Practice Phone: 724-994-4740
Practice Fax: 724-994-4745

1619962149 — DR. LISA JAYNE WATTERS D.P.M.
Practice Location Address:

3275 LEECHBURG RD , SUITE 2
LOWER BURRELL, PA
15068-2858

Practice Phone: 724-339-3500
Practice Fax: 724-339-8331

Directions to “UPMC COMMUNITY MEDICINE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.