Organization
UPMC KANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD DINGER (CFO)
(814) 837-3739
Entity
Organization
Contact information
Practice address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
(814) 837-7992
Mailing address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
550501
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
550501
PA
207Q00000X
Family Medicine Physician
550501
PA
207R00000X
Internal Medicine Physician
550501
PA
208600000X
Surgery Physician
550501
PA
261Q00000X
Clinic/Center
550501
PA
261QA1903X
Ambulatory Surgical Clinic/Center
550501
PA
282N00000X
General Acute Care Hospital
Primary
550501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049
BLUE CROSS 363 ACUTE
PA
05
—
1007457740004
—
PA
05
—
1007457740039
—
PA
05
—
1007457740047
—
PA
05
—
1007457740048
—
PA
01
—
102396
NOVITAS SOLUTIONS
PA
01
—
105034
UPMC
PA
01
—
1439302
KCH BLUE SHIELD SURGICAL
PA
01
—
1902214
KCH BLUE SHIELD
PA
01
—
2980734
HIGHMARK BLUE SHIELD ANESTHESIOLOGY
PA
01
—
2980741
HIGHMARK BS ANESTHESIA
PA
01
—
CA5757
PALMETTO GBA
PA
Enumeration date
12/16/2005
Last updated
11/27/2023
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