UPMC WESTERN MARYLAND CORPORATION (NPI# 1083936629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083936629 |
Entity Type | Organization |
Organization Name | UPMC WESTERN MARYLAND CORPORATION |
Other Organization Name | UPMC WESTERN MARYLAND |
Practice Address |
1050 W Industrial Blvd Cumberland MD 21502-4331 |
Mailing Address |
Po Box 539 Cumberland MD 21501-0539 |
Practice Telephone | 2409649355 |
Practice Fax Number | 2409649356 |
Mailing Telephone | 2409648342 |
Mailing Fax Number | 2409648337 |
Enumeration Date | 2010-02-24 |
Last Update Date | 2020-05-19 |
Authorized Official Name | MICHELE RENEE MARTZ (SR. VP CFO) |
Authorized Official Telephone | 2409647376 |
Is Organization Subpart | Y |
Parent Organization Name | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 293D00000X | Physiological Laboratory | 21D0666168 | MD | Laboratories |
Other Name | Type Code |
---|---|
UPMC Western Maryland | Doing Business As Name - Organization |
Western Maryland Outpatient Diagnostic Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
1578898631 | Upmc Western Maryland Corporation | Technician, Pathology | 12400 Willowbrook Rd, Cumberland, MD 21502-2559 | 2009-10-07 |
1215558416 | Upmc Western Maryland Corporation | Clinic/Center | 45 Hunt Club Dr, Ridgeley, WV 26753-7567 | 2020-04-29 |
1790042950 | Upmc Western Maryland Corporation | Technician, Pathology | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2012-04-12 |
1902926686 | Upmc Western Maryland Corporation | Clinic/Center | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-03-29 |
1639206410 | Upmc Western Maryland Corporation | Physiological Laboratory | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-02-27 |
1285779884 | Upmc Western Maryland Corporation | Counselor | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6393 | 2007-02-21 |
1013051119 | Upmc Western Maryland Corporation | Physiological Laboratory | 625 Kent Ave, Cumberland, MD 21502-3794 | 2007-02-20 |
1184769952 | Upmc Western Maryland Corporation | Dietetic Technician, Registered | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-02-20 |
1174667802 | Upmc Western Maryland Corporation | Clinic/Center | 12502 Willowbrook Rd, Suite 250, Cumberland, MD 21502-6491 | 2007-02-16 |
Street Address |
1050 W INDUSTRIAL BLVD |
City | CUMBERLAND |
State | MD |
Zip Code | 21502-4331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053310078 | James B. Deren | Internal Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2005-07-20 |
1780007443 | Western Maryland Pain & Rehabilitation Center LLC. | Clinic/Center | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2014-01-30 |
1255610580 | Anupama Shankar Khandare | Family Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2011-08-04 |
1548559545 | Vamsi Kanumuri | Preventive Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2011-03-31 |
1275850638 | Frances Weber | Nurse Practitioner | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-04-26 |
1336374255 | Bhavani Vaddey | Family Medicine | 1050 W Industrial Blvd, South Cumberland Market Plc Primary Care, Cumberland, MD 21502-4331 | 2009-05-21 |
1962663880 | Erin Louise Meisel | Pharmacist | 1050 W Industrial Blvd, Suite 5, Cumberland, MD 21502-4331 | 2008-06-23 |
1952516296 | Western Maryland Health System Corporation | Hospice Care, Community Based | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2007-05-11 |
1821055393 | Upmc Western Maryland Corporation | Home Health | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2006-04-28 |
1457317455 | Upmc Western Maryland Corporation | Hospice Care, Community Based | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2006-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
Find all providers in zip 21502 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013051119 | Upmc Western Maryland Corporation | Physiological Laboratory | 625 Kent Ave, Cumberland, MD 21502-3794 | 2007-02-20 |
1790829430 | Memorial Hospital and Medical Center of Cumberland, Inc. | Physiological Laboratory | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061869 | All-stat Portable Md, LLC | Physiological Laboratory | 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 | 2020-10-19 |
1265043897 | Blackstone Medical Services LLC | Physiological Laboratory | 4000 Blackburn Ln Ste 210, Burtonsville, MD 20866-6128 | 2020-08-17 |
1285131565 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Dr Ste E, Windsor Mill, MD 21244-2673 | 2018-04-12 |
1972966075 | Sunbloom Tech Inc | Physiological Laboratory | 3266 W Springs Dr, Ellicott City, MD 21043-3270 | 2016-04-05 |
1316181274 | Rmi Medical Solutions LLC | Physiological Laboratory | 3531 Anderson Ln, Jarrettsville, MD 21084-1512 | 2009-04-22 |
1487843868 | Cardiovascular Imaging, Inc. | Physiological Laboratory | 5530 Wisconsin Ave Ste 915, Chevy Chase, MD 20815-4330 | 2007-10-22 |
1457456295 | Heart Savers East Coast, LLC | Physiological Laboratory | 110 W Timonium Road, Suite 1d, Timonium, MD 21093 | 2006-09-14 |
1386654663 | America's Favorite Sleep Center Inc. | Physiological Laboratory | 10290 Baltimore National Pike, Ellicott City, MD 21042 | 2006-08-09 |
1639140387 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Drive, Suite E, Windsor Mill, MD 21244-2639 | 2006-01-31 |
1538460985 | Radiation Physics Inc | Physiological Laboratory | 10133 Bacon Dr, Beltsville, MD 20705-2102 | 2010-11-16 |
Find all providers with the same taxonomy |
City | CUMBERLAND |
Zip Code | 21502 |
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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.