UPMC COMMUNITY MEDICINE INC (NPI# 1417153966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417153966 |
| Entity Type | Organization |
| Organization Name | UPMC COMMUNITY MEDICINE INC |
| Other Organization Name | HERMITAGE COMMUNITY MEDICINE UPMC |
| Practice Address |
705 Brookshire Dr Suite 2 Hermitage PA 16148-4513 |
| Practice Telephone | 7243474099 |
| Practice Fax Number | 7243477455 |
| Mailing Telephone | 7243474099 |
| Mailing Fax Number | 7243477455 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MARK EHALT (DIRECTOR) |
| Authorized Official Telephone | 4126470943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK GROUP NUMBER | 697780 | 01 |
| Other Name | Type Code |
|---|---|
| HERMITAGE COMMUNITY MEDICINE UPMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775686 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 3520 State Route 130, Irwin, PA 15642 | 2015-11-18 |
| 1992197891 | Upmc Community Medicine Inc | Family Medicine | 2004 W State St, New Castle, PA 16101-1248 | 2015-03-02 |
| 1003228172 | Upmc Community Medicine Inc | Family Medicine | 11065 State Highway 18, Suite 1, Conneaut Lake, PA 16316-3569 | 2014-05-23 |
| 1396171377 | Upmc Community Medicine Inc | Orthopaedic Surgery | 510 S Aiken Ave, Suite Eg-01, Pittsburgh, PA 15232-1505 | 2013-09-23 |
| 1881035103 | Upmc Community Medicine Inc | Internal Medicine | 21 Yost Blulevard, Suite 216, Pittsburgh, PA 15221 | 2013-07-15 |
| 1770922247 | Upmc Community Medicine Inc | Family Medicine | 1026 Duquesne Blvd, Duquesne, PA 15110-1404 | 2013-06-18 |
| 1902194236 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 6885 Us Hwy 322, Suite 3, Franklin, PA 16323 | 2011-07-20 |
| 1376835413 | Upmc Community Medicine Inc | Family Medicine | 2001 Lincoln Way Ste 290, White Oak, PA 15131 | 2011-05-09 |
| 1164656336 | Upmc Community Medicine Inc | Internal Medicine | 504 Pittsburgh St, Mars, PA 16046 | 2009-05-04 |
| 1629221387 | Upmc Community Medicine Inc | Surgery | 3 St.francis Way, Medical Office Building East, Suite 206, Cranberry Township, PA 16066 | 2008-10-28 |
| Street Address |
705 BROOKSHIRE DR SUITE 2 |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338786 | Jon R. Henwood | Surgery | 705 Brookshire Dr, Ste 3, Hermitage, PA 16148-4513 | 2005-06-30 |
| 1013344035 | Upmc Community Medicine Inc | Dermatology | 705 Brookshire Dr, Suite 3, Hermitage, PA 16148-4513 | 2013-10-04 |
| 1730335134 | Upmc Community Medicine, Inc. | Non-Pharmacy Dispensing Site | 705 Brookshire Dr, Suite 2, Hermitage, PA 16148-4513 | 2008-08-18 |
| 1235255134 | Emmy Grace Burkett | Physician Assistant | 705 Brookshire Dr, Suite 1, Hermitage, PA 16148-4513 | 2007-03-22 |
| 1962538017 | Upmc Community Medicine Inc | Family Medicine | 705 Brookshire Dr, Suite 1, Hermitage, PA 16148-4513 | 2007-02-25 |
| 1932175783 | Deborah Ann Snyder | Specialist | 705 Brookshire Dr, Suite 2, Hermitage, PA 16148-4513 | 2006-02-23 |
| 1831164003 | Dean A Petrucci | Specialist | 705 Brookshire Dr, Suite 1, Hermitage, PA 16148-4513 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1780116806 | Kayla Milano | Family Medicine | 2425 Garden Way Ste 102, Hermitage, PA 16148-5215 | 2017-03-29 |
| 1558616532 | Willis Family Medical Center, P.C. | Family Medicine | 3441 Lebanon Pike Ste 101, Hermitage, TN 37076-2000 | 2012-07-17 |
| 1851402010 | Gordon Reed Wouters | Family Medicine | Hwy 254 & Dallas St., Hermitage, MO 65668 | 2006-08-31 |
| 1689639676 | Robert A Cicuto | Family Medicine | 2213 Shenango Valley Freeway, Hermitage, PA 16148 | 2006-04-20 |
| 1649247255 | Covenant Family Medicine | Family Medicine | 3110 Highland Rd, Suite 203, Hermitage, PA 16148-4505 | 2006-03-02 |
| 1386615540 | Cynthia L Wallace | Family Medicine | 4777 Andrew Jackson Pkwy, Suite 101, Hermitage, TN 37076-1356 | 2006-01-27 |
| 1932179389 | Gregory D. Witters | Family Medicine | 4777 Andrew Jackson Parkway, Suite 102, Hermitage, TN 37076 | 2006-01-26 |
| 1477533834 | William Joseph Herbert | Family Medicine | 3910 E State St, Hermitage, PA 16148-3405 | 2006-01-20 |
| 1710968037 | Richard Y Pak | Family Medicine | 3939 Central Pike, Hermitage, TN 37076 | 2005-11-14 |
| Find all providers in HERMITAGE | ||||
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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.