UPMC MCKEESPORT (NPI# 1114937737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114937737 |
| Entity Type | Organization |
| Organization Name | UPMC MCKEESPORT |
| Practice Address |
1500 5th Ave Mckeesport PA 15132-2422 |
| Mailing Address |
Po Box 382007 Pittsburgh PA 15250-8007 |
| Practice Telephone | 4124325500 |
| Mailing Telephone | 4124325500 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-07-19 |
| Authorized Official Name | MR. CHRISTOPHER STOCKHAUSEN (CFO) |
| Authorized Official Telephone | 4126642528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UPMC HEALTH PLAN NUMBER | 117 | 01 |
| PA | HIGHMARK PROVIDER NUMBER | 840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703531 | Upmc Mckeesport | Rehabilitation, Substance Use Disorder Unit | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2018-06-11 |
| 1396188777 | Upmc Mckeesport | Pharmacy | 1500 5th Ave, 1 Shaw, Mckeesport, PA 15132-2422 | 2013-04-16 |
| 1598005365 | Upmc Mckeesport | Internal Medicine | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2013-02-15 |
| 1952683161 | Upmc Mckeesport | General Acute Care Hospital | 2347 Fifth Ave, Mckeesport, PA 15132-1126 | 2011-09-13 |
| 1942364898 | Upmc Mckeesport | Clinic/Center | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2006-12-21 |
| 1992715510 | Upmc Mckeesport | Rehabilitation Unit | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2006-08-08 |
| 1659381275 | Upmc Mckeesport | Psychiatric Unit | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2006-08-08 |
| 1194734798 | Upmc Mckeesport | Rehabilitation, Substance Use Disorder Unit | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2006-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UPMC MCKEESPORT | 1500 5th Ave, Mckeesport, PA 15132-2422 |
| Street Address |
1500 5TH AVE |
| City | MCKEESPORT |
| State | PA |
| Zip Code | 15132-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733368 | Lori Lynn Dean | Physical Medicine & Rehabilitation | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2005-07-12 |
| 1104430578 | Megan Marie Staab | Occupational Therapist | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2020-09-03 |
| 1952869398 | Tess Jocelyn Kolarik | Hospitalist | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2019-03-05 |
| 1043703531 | Upmc Mckeesport | Rehabilitation, Substance Use Disorder Unit | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2018-06-11 |
| 1699287268 | Ariel Norris | Physician Assistant | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2017-11-03 |
| 1154833325 | Lauren Porter Williams | Physician Assistant | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2017-10-27 |
| 1962927608 | Elizabeth Ann Carey | Nurse Practitioner | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2017-08-03 |
| 1891248597 | Danielle Bellan | Pharmacist | 1500 5th Ave, Mckeesport, PA 15132-2422 | 2016-07-28 |
| 1598117574 | Aanuoluwa Abiola | Student in an Organized Health Care Education/Training Program | 1500 5th Ave, 1st Floor Kelly Building, Mckeesport, PA 15132-2422 | 2016-07-01 |
| 1588015564 | Dalal Mazraeh | Internal Medicine | 1500 5th Ave, 1st Floor Kelly Building, Mckeesport, PA 15132-2422 | 2016-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
| 1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
| 1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
| 1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
| 1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
| 1700415817 | Stephanie C Otuwa | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-02 |
| 1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
| 1447819198 | Tahreem Ahmad | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 | 2019-06-06 |
| 1174181614 | Malik Ahmad | Student in an Organized Health Care Education/Training Program | Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-30 |
| 1184281198 | Tariq Hassan | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-24 |
| Find all providers in zip 15132 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356331235 | County of Allegheny | Skilled Nursing Facility | 100 9th St, Mckeesport, PA 15132-3952 | 2005-10-24 |
| 1912905365 | Riverside Nursing Centers, Inc. | Skilled Nursing Facility | 100 8th St, Mckeesport, PA 15132-2712 | 2005-07-11 |
| 1831597962 | Crystal Robinson-burkes | Skilled Nursing Facility | 100 9th St, Mckeesport, PA 15132-3952 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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| City | MCKEESPORT |
| Zip Code | 15132 |
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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.