UPMC BRADDOCK (NPI# 1831108489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831108489 |
| Entity Type | Organization |
| Organization Name | UPMC BRADDOCK |
| Practice Address |
400 Holland Ave Braddock PA 15104-1599 |
| Mailing Address |
Po Box 382007 Pittsburgh PA 15250-8007 |
| Practice Telephone | 4124325500 |
| Mailing Telephone | 4124325500 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-04-20 |
| 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 | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDPLUS NUMBER | 00000060222 | 01 |
| PA | HIGHMARK PROVIDER NUMBER | 0002 | 01 |
| PA | ION HEALTHCARE NUMBER | 1007360690006 | 01 |
| PA | HEALTHAMERICA NUMBER | 390176 | 01 |
| PA | AETNA HMO NUMBER | 0080000 | 01 |
| NY | 00814902 | 05 | |
| PA | 1007360690006 | 05 | |
| PA | UPMC FOR YOU NUMBER | 35 | 01 |
| WV | 0101249 | 05 | |
| OH | 7061889 | 05 | |
| PA | AETNA US HEALTHCARE NUMBE | 0006490105 | 01 |
| PA | GATEWAY NUMBER | 1005242 | 01 |
| PA | UPMC HEALTH PLAN NUMBER | 35 | 01 |
| NJ | 4196007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910342 | Upmc Braddock | Clinic/Center | 200 Lothrop St, Quantum #1 3rd Fl, Pittsburgh, PA 15213-2536 | 2006-12-21 |
| 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 |
| Street Address |
400 HOLLAND AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719738 | Charles Krifcher | Specialist | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-02-14 |
| 1518117373 | Carmen Joseph Scolieri | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-09-29 |
| 1629231972 | Sonja Eckstrom | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-07-08 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1144493503 | Curt David Bell | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-08 |
| 1134392681 | Michelle Lynne Leddon | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-04 |
| 1336312974 | Thomas Mark Kelly | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-03 |
| 1811169519 | Nancy Jean Feth | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1245403922 | Edward Richard Williams | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1124291877 | Jeanne Nicole Matucheski | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1285295899 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 8950 Duncan Ave, Pittsburg, PA 15237 | 2019-06-25 |
| 1578124418 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 2501 Freeport Rd, Pittsburgh, PA 15238-1409 | 2019-06-21 |
| 1528627155 | Lehigh Valley Hospital | General Acute Care Hospital | 4815 Tilghman Street, Allentown, PA 18104-9374 | 2019-06-07 |
| 1265096069 | Gsl Hospital | General Acute Care Hospital | 100 Paramount Boulevard, Orwigsburg, PA 17961 | 2019-04-26 |
| 1699235374 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 6321 Route 30, Greensburg, PA 15601-9703 | 2019-03-20 |
| 1972036739 | New-york Presbyterian Hospital | General Acute Care Hospital | 5104 Butler St, Apt 2, Pittsburgh, PA 15201-2647 | 2017-04-09 |
| 1740721125 | Geisinger Wyoming Valley | General Acute Care Hospital | 183 Robert St, Nanticoke, PA 18634-2015 | 2017-03-17 |
| 1396286233 | Mercy Catholic Medical Center of Southeastern Pennsylvania | General Acute Care Hospital | 832 Arbor Rd, Yeadon, PA 19050-3602 | 2017-03-11 |
| 1639628043 | Tri-county Hospitalists | General Acute Care Hospital | 560 N 16th St, Apt 1, Philadelphia, PA 19130-4105 | 2016-09-26 |
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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.