MEDICARE: UNIVERSITY OF PITTSBURGH PHYSICIANS

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	207P00000X	Emergency Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1194070748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF PITTSBURGH PHYSICIANS

Provider Business Mailing Address
First Line	:	1870 BROADVIEW BLVD
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2234
Country	:	US
Telephone Number	:	724-224-3701
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 BROADVIEW BLVD
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2234
Country	:	US
Telephone Number	:	724-224-3701
Fax Number	:

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

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	01/02/2015

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