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
1	2081P0004X	Spinal Cord Injury Medicine Physician
2	2081P0010X	Pediatric Rehabilitation Medicine Physician
3	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician
4	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1770541963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF PITTSBURGH PHYSICIANS

Provider Business Mailing Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2546
Country	:	US
Telephone Number	:	412-647-0943
Fax Number	:	412-647-4050

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2546
Country	:	US
Telephone Number	:	412-647-0943
Fax Number	:	412-647-4050

Authorized Official
Title or Position	:	DIRECTOR, REVENUE CYCLE
Name	:	MARK EHALT
Credential	:
Telephone Number	:	412-647-0943

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/22/2007

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Directions to “UNIVERSITY OF PITTSBURGH PHYSICIANS ” Practice Location

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