UPMC COMMUNITY MEDICINE, INC. (NPI# 1104081785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104081785 |
| Entity Type | Organization |
| Organization Name | UPMC COMMUNITY MEDICINE, INC. |
| Other Organization Name | CHESTNUT RIDGE FAMILY MEDICINE - UPMC |
| Practice Address |
2040 Quaker Valley Rd Fishertown PA 15539-9723 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8148394152 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS010738L | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Chestnut Ridge Family Medicine - UPMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438781 | Upmc Community Medicine, Inc. | Family Medicine | 300 Halket St Ste 1700, Pittsburgh, PA 15213-3108 | 2018-05-22 |
| 1457870164 | Upmc Community Medicine, Inc. | Internal Medicine | 2008 W State St, New Castle, PA 16101-1248 | 2017-09-13 |
| 1568986073 | Upmc Community Medicine, Inc. | Internal Medicine | 875 N Hermitage Rd Ste 4, Hermitage, PA 16148-3278 | 2017-07-27 |
| 1154844421 | Upmc Community Medicine, Inc. | Internal Medicine | 2602 Wilmington Rd Ste 208, New Castle, PA 16105-1538 | 2017-07-19 |
| 1184155525 | Upmc Community Medicine, Inc. | Internal Medicine | 2602 Wilmington Road, Suite 207, Medical Arts Building, New Castle, PA 16105 | 2017-03-27 |
| 1790936375 | Upmc Community Medicine, Inc. | Non-Pharmacy Dispensing Site | 1048 Lincoln Way, Mckeesport, PA 15132-1453 | 2008-10-01 |
| 1174187801 | Upmc Community Medicine, Inc. | Pain Medicine | 89 Beaver Dr, Du Bois, PA 15801-2425 | 2019-04-29 |
| 1699339325 | Upmc Community Medicine, Inc. | Otolaryngology | 1029 Liberty St, Franklin, PA 16323-1242 | 2019-04-29 |
| 1861901423 | Upmc Community Medicine, Inc. | Internal Medicine | 2000 Memorial Dr, Farrell, PA 16121-1366 | 2017-09-27 |
| 1538690136 | Upmc Community Medicine, Inc. | Internal Medicine | 532 S Aiken Ave, Suite 201, Pittsburgh, PA 15232-1521 | 2017-03-24 |
| Street Address |
2040 QUAKER VALLEY RD |
| City | FISHERTOWN |
| State | PA |
| Zip Code | 15539-9723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184787889 | Chestnut Ridge Pharmacy LLC | Pharmacy | 2262 Quaker Valley Rd, Fishertown, PA 15539 | 2006-12-18 |
| 1851475313 | David R Bowser IIi | Dentist | 114 Ridgewood Drive, Fishertown, PA 15539 | 2006-10-24 |
| 1467425504 | Roben L Egolf | Physician Assistant | Route 56, Box 123, Fishertown, PA 15539 | 2006-02-09 |
| 1740256973 | Eric R Weaverling | Specialist | Route 56, Box 123, Fishertown, PA 15539 | 2006-02-27 |
| 1427022029 | Beth A Clark | Specialist | Route 56, Fishertown, PA 15539 | 2006-02-13 |
| 1336145648 | Karen M Leppert | Physical Therapist | 3029 Valley Rd, Fishertown, PA 15539-9840 | 2005-06-22 |
| 1922406073 | Milestone Physical Therapy, LLC | Physical Therapist | 3029 Valley Rd, Fishertown, PA 15539-9840 | 2014-12-05 |
| 1568428597 | Chestnut Ridge School District | Local Education Agency (LEA) | 3281 Valley Rd, Fishertown, PA 15539-9843 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184787889 | Chestnut Ridge Pharmacy LLC | Pharmacy | 2262 Quaker Valley Rd, Fishertown, PA 15539 | 2006-12-18 |
| 1851475313 | David R Bowser IIi | Dentist | 114 Ridgewood Drive, Fishertown, PA 15539 | 2006-10-24 |
| 1568428597 | Chestnut Ridge School District | Local Education Agency (LEA) | 3281 Valley Rd, Fishertown, PA 15539-9843 | 2006-04-26 |
| 1467425504 | Roben L Egolf | Physician Assistant | Route 56, Box 123, Fishertown, PA 15539 | 2006-02-09 |
| 1336145648 | Karen M Leppert | Physical Therapist | 3029 Valley Rd, Fishertown, PA 15539-9840 | 2005-06-22 |
| 1922406073 | Milestone Physical Therapy, LLC | Physical Therapist | 3029 Valley Rd, Fishertown, PA 15539-9840 | 2014-12-05 |
| 1740256973 | Eric R Weaverling | Specialist | Route 56, Box 123, Fishertown, PA 15539 | 2006-02-27 |
| 1427022029 | Beth A Clark | Specialist | Route 56, Fishertown, PA 15539 | 2006-02-13 |
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | FISHERTOWN |
| Zip Code | 15539 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.