MEDICARE: DR. JEFFREY P UBINGER MD

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	208000000X	Pediatrics Physician	MD044339E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	370010096	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	597504	OTHER	BLUE SHIELD
2	101404	OTHER	UPMC HEALTH PLAN
3	4118078	OTHER	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P000827	OTHER	GATEWAY HEALTH PLAN

General Provider Information

NPI Number	:	1598708810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY P UBINGER MD

Provider Business Mailing Address
First Line	:	3824 NORTHERN PIKE
Second Line	:	SUITE 700
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2141
Country	:	US
Telephone Number	:	412-457-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 RODI RD
Second Line	:	SUITE 140
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3318
Country	:	US
Telephone Number	:	412-371-6414
Fax Number	:	412-371-9739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	11/04/2020

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Directions to “ DR. JEFFREY P UBINGER MD” Practice Location

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