Brian K Wilson (NPI# 1912947912, PAC ID# 0446219919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1912947912 |
| PAC ID by PECOS | 0446219919 |
| Professional Enrollment ID | I20041008001133 |
| Full Name | Brian K Wilson |
| Organization Legal Name | RENAISSANCE FAMILY PRACTICE-UPMC, INC |
| Address |
5769 Saltsburg Rd Verona PA 15147-3211 |
| Phone Number | 4127938870 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012085558 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390102 | UPMC ST MARGARET |
| 390114 | MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM |
| 390164 | UPMC PRESBYTERIAN SHADYSIDE |
| Address | Phone | Organization |
|---|---|---|
| 200 Delafield Rd, Suite 2030, Pittsburgh, PA 15215-3214 | 4127822101 | RENAISSANCE FAMILY PRACTICE-UPMC, INC |
| 5769 Saltsburg Rd, Verona, PA 15147-3211 | 4127938870 | RENAISSANCE FAMILY PRACTICE-UPMC, INC |
| Organization Legal Name | RENAISSANCE FAMILY PRACTICE-UPMC, INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie N Hucko | Family Medicine | Renaissance Family Practice-upmc, Inc | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 |
| Ashley M Lewis | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Monica Marie Benavides | Cardiovascular Disease (cardiology) | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Suite 3010, Pittsburgh, PA 15215-3214 |
| Michael J Curren | Cardiovascular Disease (cardiology) | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Pittsburgh, PA 15215-3214 |
| Makum L Ramesh | Cardiovascular Disease (cardiology) | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Suite 3010, Pittsburgh, PA 15215-3214 |
| Jonathan Powell | Family Medicine | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Suite 2030, Pittsburgh, PA 15215-3214 |
| Jeffrey S Cohen | Cardiovascular Disease (cardiology) | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Suite 3010, Pittsburgh, PA 15215-3214 |
| Michael Govi | Family Medicine | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Suite 2030, Pittsburgh, PA 15215-3214 |
| Daniel J Monahan | Family Medicine | Renaissance Family Practice-upmc, Inc | 200 Delafield Rd, Suite 2030, Pittsburgh, PA 15215-3214 |
| Kathleen T Werner | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Street Address |
5769 SALTSBURG RD |
| City | VERONA |
| State | PA |
| Zip | 15147-3211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Lewis | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Kathleen T Werner | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Dana K Brown | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Katherine Wilhelmy | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Barbara S Kevish | Family Medicine | Renaissance Family Practice-upmc, Inc | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Kirsten Yaggi | Clinical Social Worker | Childrens Community Care | 5769 Saltsburg Rd, Verona, PA 15147-3211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patience Agbodzie | Nurse Practitioner | Agbodzie LLC | 168 Allegheny River Blvd, Verona, PA 15147-1051 |
| Timothy P Stewart | Podiatry | 600 W Railroad Ave, Verona, PA 15147-1140 | |
| Nancy H Chubb | Clinical Psychologist | 227 Kansas St, Verona, PA 15147-2215 | |
| Robert M Werley Jr. | Chiropractic | 5614 Verona Rd, Verona, PA 15147-3122 | |
| Kelly Alcorn Bauman | Chiropractic | 6149 Saltsburg Rd, Suite 103, Verona, PA 15147-3542 | |
| Melissa Lynn Horner | Family Practice | Allegheny Clinic | 6149 Saltsburg Rd, Suite 202, Verona, PA 15147-3542 |
| City | VERONA |
| Zip Code | 15147 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VERONA + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.