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	207RC0000X	Cardiovascular Disease Physician
2	207T00000X	Neurological Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	113748	OTHER	PA	HIGHMARK MEDICARE GROUP

General Provider Information

NPI Number	:	1811945793
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	:	425 W FIFTH ST
Second Line	:	EAST LIVERPOOL CITY HOSPITAL
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-2405
Country	:	US
Telephone Number	:	330-386-3195
Fax Number	:	330-386-3197

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	:	09/27/2011

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Directions to “UNIVERSITY OF PITTSBURGH PHYSICIANS ” Practice Location

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