Provider Demographics
NPI:1972806677
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:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MACPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-802-6013
Mailing Address - Street 1:3550 TERRACE ST
Mailing Address - Street 2:SCAIFE HALL, ROOM A711
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2500
Mailing Address - Country:US
Mailing Address - Phone:412-802-6013
Mailing Address - Fax:412-802-6079
Practice Address - Street 1:3550 TERRACE ST
Practice Address - Street 2:SCAIFE HALL, ROOM A711
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2500
Practice Address - Country:US
Practice Address - Phone:412-802-6013
Practice Address - Fax:412-802-6079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-19
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT192945282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital