UPMC BRADDOCK (NPI# 1407910342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407910342 |
| Entity Type | Organization |
| Organization Name | UPMC BRADDOCK |
| Practice Address |
200 Lothrop St Quantum #1 3rd Fl Pittsburgh PA 15213-2536 |
| Mailing Address |
400 Holland Ave Braddock PA 15104-1599 |
| Practice Telephone | 4124325500 |
| Mailing Telephone | 4124325500 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MRS. SUSAN MAMMARELLA (CFO) |
| Authorized Official Telephone | 4126365314 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK PROVIDER NUMBER | 0002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710997341 | Upmc Braddock | Psychiatric Unit | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-08 |
| 1629088257 | Upmc Braddock | Skilled Nursing Facility | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-08 |
| 1831108489 | Upmc Braddock | General Acute Care Hospital | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-05 |
| Street Address |
200 LOTHROP ST QUANTUM #1 3RD FL |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214612 | Kathy Sue Magdic | Nurse Practitioner | 200 Lothrop St, Forbes Tower Suite 10055b, Pittsburgh, PA 15213-2536 | 2005-06-10 |
| 1245841865 | Stephanie Lynn Shriver | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-08-17 |
| 1881204428 | Ashley Rose Rife | Nurse Practitioner | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-08-07 |
| 1174133011 | Allison M Kakabar | Dietitian, Registered | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-08-05 |
| 1881203685 | Elissa Ann Wegley | Nurse Practitioner | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-07-28 |
| 1265040307 | Erin Renee Mcmahan | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-07-15 |
| 1164047031 | Garrett Michael Day | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-06-16 |
| 1487278818 | Mikayla Lowenkamp | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Puh South Tower, Suite E362.4, Pittsburgh, PA 15213-2582 | 2020-06-01 |
| 1497379184 | Dustin H Marks | Internal Medicine | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-05-29 |
| 1124641071 | Jonathan Peterson | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659408300 | Centre Avenue Group, LLC | Clinic/Center | 5800 Centre Ave, Pittsburgh, PA 15206-3710 | 2007-02-28 |
| 1548240633 | North Shore Ambulatory Surgical | Clinic/Center | 2 Allegheny Ctr, Pittsburgh, PA 15212-5402 | 2006-01-17 |
| 1720069750 | Digestive Health and Endoscopy Center, Inc. | Clinic/Center | 1000 Integrity Dr, Suite 110, Pittsburgh, PA 15235-3332 | 2005-11-08 |
| 1558613067 | Ambulatory Surgery Center At The Jefferson Pain & Rehab Center | Clinic/Center | 4735 Clairton Blvd, Pittsburgh, PA 15236-2115 | 2012-10-08 |
| 1730330903 | The Center for Cosmetic Surgery, PC | Clinic/Center | 2275 Swallow Hill Rd, Suite 2400, Pittsburgh, PA 15220-1656 | 2008-10-07 |
| 1396996013 | The Center for Cosmetic Surgery, PC | Clinic/Center | 2275 Swallow Hill Rd, Suite 2400, Pittsburgh, PA 15220-1656 | 2008-10-01 |
| 1336324045 | Mccandless Endoscopy Center, LLC | Clinic/Center | 9335 Mcknight Rd, Suite 200, Pittsburgh, PA 15237-5903 | 2008-01-02 |
| 1649392242 | St. Clair Memorial Hospital | Clinic/Center | 1000 Bower Hill Road, Pittsburgh, PA 15243-1899 | 2007-04-04 |
| 1952420325 | The Western Pennsylvania Hospital | Clinic/Center | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2007-03-28 |
| 1275658304 | Upmc Children's Hospital of Pittsburgh | Clinic/Center | 4401 Penn Ave, Pittsburgh, PA 15224 | 2007-03-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on UPMC BRADDOCK.
| 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.