# UPMC COMMUNITY MEDICINE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790088441
- **Authorized official:** MR. MARK T EHALT (SR.DIRECTOR)
- **Authorized official phone:** (412) 647-0943

## Contact information

- **Practice address:** 10455 LINCOLN HWY, EVERETT, PA 15537-7046
- **Practice address phone:** (814) 623-6161
- **Mailing address:** 10455 LINCOLN HWY, EVERETT, PA 15537-7046
- **Mailing address phone:** (814) 623-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 12/17/2010