Provider Demographics
NPI:1215264007
Name:UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME ACADEMIC MANAGER RADIOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-647-7338
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-7338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT191335281P00000X, 281PC2000X, 282N00000X, 282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital
No281PC2000XHospitalsChronic Disease HospitalChildren
No282N00000XHospitalsGeneral Acute Care Hospital
No282NC2000XHospitalsGeneral Acute Care HospitalChildren