RENAISSANCE FAMILY PRACTICE, UPMC (NPI# 1568504728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568504728 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE FAMILY PRACTICE, UPMC |
| Other Organization Name | RENAISSANCE FAMILY PRACTICE, UPMC-MILLVALE |
| Practice Address |
111 Sheridan St Pittsburgh PA 15209-2639 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4128212277 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD018049E | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Renaissance Family Practice, UPMC-Millvale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174665095 | Renaissance Family Practice, Upmc | Non-Pharmacy Dispensing Site | 200 Delafield Rd, 2030, Pittsburgh, PA 15215-3205 | 2007-02-14 |
| 1194867267 | Renaissance Family Practice, Upmc | Non-Pharmacy Dispensing Site | 5769 Saltsburg Rd, Verona, PA 15147-3211 | 2007-02-13 |
| Street Address |
111 SHERIDAN ST |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15209-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245286160 | Robert L Carrell | Family Medicine | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2006-05-25 |
| 1730622820 | Emily Kosty | Physician Assistant | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2016-11-22 |
| 1982158358 | Joni Carroll | Pharmacist | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2016-08-15 |
| 1780097428 | Naushin Udyawar | Family Medicine | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2014-06-10 |
| 1477709335 | Renaissance Family Practice-upmc,inc | Family Medicine | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2008-08-12 |
| 1790902955 | Christine L Volk | Nurse Practitioner | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2007-04-19 |
| 1518992403 | Renaissance Family Practice, Inc | Family Medicine | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2006-07-11 |
| 1679529598 | Sarah B Larkin | Family Medicine | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2006-05-25 |
| 1962458976 | Henry A Bakkila | Family Medicine | 111 Sheridan St, Pittsburgh, PA 15209-2639 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669822813 | Jessica Leigh Herrington | Counselor | 1844 Babcock Blvd, Pittsburgh, PA 15209 | 2016-06-20 |
| 1376886630 | Relax At Home Health Care Inc. | Home Health | 121 Sprucewood Drive, Pgh, PA 15209 | 2013-04-04 |
| 1376642462 | Ross Township Chiropractic PC | Chiropractor | 2199 Babcock Blvd, Pittsburgh, PA 15209 | 2006-09-22 |
| 1588817753 | Janet Leahy | Nurse Practitioner | 138 Crestwood Dr, Millvale, PA 15209-1008 | 2008-10-31 |
| 1477889574 | Anthony Joseph Isacco IIi | Psychologist | 136 Lohengrin Dr, Pittsburgh, PA 15209-1049 | 2009-10-23 |
| 1730512567 | Stacy Erin Martin | Counselor | 141 Loire Valley Dr, Pittsburgh, PA 15209-1070 | 2013-08-15 |
| 1225644180 | Erin Seiner | Specialist/Technologist | 381 Wible Run Rd, Pittsburgh, PA 15209-1133 | 2020-09-16 |
| 1407379662 | Heal With Creativity LLC | Counselor | 1844 Babcock Blvd, Pittsburgh, PA 15209-1302 | 2017-07-19 |
| 1932210614 | Brian J. Matijasic | Chiropractor | 2199 Babcock Blvd, Pittsburgh, PA 15209-1386 | 2006-08-31 |
| 1760615181 | Eric Michael Pasierb | Chiropractor | 2199 Babcock Blvd, Pittsburgh, PA 15209-1386 | 2009-09-02 |
| Find all providers in zip 15209 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066841 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 532 S Aiken Ave Ste 201, Pittsburgh, PA 15232-1521 | 2018-03-13 |
| 1306383922 | Dayo Navalgund Associates | Non-Pharmacy Dispensing Site | 491 E. Bruceton Rd., Suite 101, Pittsburgh, PA 15236 | 2017-01-20 |
| 1174808398 | Internal Medicine | Non-Pharmacy Dispensing Site | 24 Doctors Lane, 201, Pittsburgh, PA 15220 | 2011-10-19 |
| 1730348152 | Pittsburgh Internal Medicine Associates - Upmc | Non-Pharmacy Dispensing Site | 4190 Brownsville Rd, Pittsburgh, PA 15227-3331 | 2008-06-02 |
| 1124169701 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 120 Lytton Ave Ste 100a, Pittsburgh, PA 15213-1481 | 2007-02-08 |
| 1346293917 | Sisters of St. Francis of Millvale | Non-Pharmacy Dispensing Site | 146 Hawthorne Rd, Pittsburgh, PA 15209-1916 | 2006-05-17 |
| 1518500750 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 617 Clairton Blvd, Pittsburgh, PA 15236-3811 | 2019-10-21 |
| 1750814976 | Sports Medicine and Joint Replacement Specialist Corp | Non-Pharmacy Dispensing Site | 345 Mount Lebanon Blvd, Pittsburgh, PA 15234-1504 | 2017-04-05 |
| 1790222578 | Dayalan Medical Associates | Non-Pharmacy Dispensing Site | 3601 Mcknight East Dr, Pittsburgh, PA 15237-6400 | 2017-01-31 |
| 1700322823 | Dayo Navalgund Associates | Non-Pharmacy Dispensing Site | 470 Home Dr, Pittsburgh, PA 15275-1204 | 2017-01-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15209 |
Please comment or provide details below to improve the information on RENAISSANCE FAMILY PRACTICE, UPMC.
| 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.