Provider Demographics
NPI:1396052171
Name:JRMC PHYSICIAN SERVICES CORPORATION - DEAN ORNISH
Entity type:Organization
Organization Name:JRMC PHYSICIAN SERVICES CORPORATION - DEAN ORNISH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP & COO, CORP ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-469-5487
Mailing Address - Street 1:PO BOX 18119
Mailing Address - Street 2:MOB # 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0119
Mailing Address - Country:US
Mailing Address - Phone:412-469-7932
Mailing Address - Fax:412-469-5493
Practice Address - Street 1:236 FIFTH AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2713
Practice Address - Country:US
Practice Address - Phone:412-653-1391
Practice Address - Fax:412-653-1394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFERSON REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA603459OtherHEALTH AMERICA
PA1154450179OtherNPI #
PA603459OtherHEALTH AMERICA