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1861478307

NPI Code Detail

MEDICARE: UPMC KANE

MEDICARE: UPMC KANE

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	261QA1903X	Ambulatory Surgical Clinic/Center	550501	PA
2	207L00000X	Anesthesiology Physician	550501	PA
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	550501	PA
4	207Q00000X	Family Medicine Physician	550501	PA
5	207R00000X	Internal Medicine Physician	550501	PA
6	208600000X	Surgery Physician	550501	PA
7	261Q00000X	Clinic/Center	550501	PA
8	282N00000X	General Acute Care Hospital	550501	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0049	OTHER	PA	BLUE CROSS 363 ACUTE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	102396	OTHER	PA	NOVITAS SOLUTIONS
5	1439302	OTHER	PA	KCH BLUE SHIELD SURGICAL
6	CA5757	OTHER	PA	PALMETTO GBA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	105034	OTHER	PA	UPMC
9	2980734	OTHER	PA	HIGHMARK BLUE SHIELD ANESTHESIOLOGY
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1902214	OTHER	PA	KCH BLUE SHIELD
12	2980741	OTHER	PA	HIGHMARK BS ANESTHESIA

General Provider Information

NPI Number	:	1861478307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC KANE

Provider Business Mailing Address
First Line	:	600 GRANT STREET, US STEEL TOWER, 59TH FLOOR
Second Line	:	C/O RENEE JOHNSON
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2740
Country	:	US
Telephone Number	:	412-623-6303
Fax Number	:	412-623-6369

Provider Business Practice Location Address
First Line	:	4372 ROUTE 6
Second Line	:
City	:	KANE
State	:	PA
Zip	:	16735-3060
Country	:	US
Telephone Number	:	814-837-8585
Fax Number	:	814-837-7992

Authorized Official
Title or Position	:	CFO
Name	:	MR. BRAD DINGER
Credential	:
Telephone Number	:	814-837-3739

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	11/27/2023

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1497733224 — JAMIL SARFRAZ MD
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Directions to “UPMC KANE ” 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.

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