Provider Demographics
NPI:1225047699
Name:UPMC PASSAVANT
Entity Type:Organization
Organization Name:UPMC PASSAVANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-748-6354
Mailing Address - Street 1:600 GRANT STREET, US STEEL TOWER, 59TH FLOOR
Mailing Address - Street 2:C/O RENEE JOHNSON
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2740
Mailing Address - Country:US
Mailing Address - Phone:412-623-6303
Mailing Address - Fax:412-623-6369
Practice Address - Street 1:9100 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5815
Practice Address - Country:US
Practice Address - Phone:412-432-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0088OtherHIGHMARK PROVIDER NUMBER
PA0088OtherBC ANTHEM NUMBER
PAP008392OtherUNITED HEALTHCARE NUMBER
OH1001913350005Medicaid
PA60054OtherAETNA US HEALTHCARE NUMBE
PA628500OtherVALUE OPTIONS NUMBER
PA1006410OtherGATEWAY NUMBER
PA0514542OtherCIGNA NUMBER
WV1001913350005Medicaid
PA390107OtherHEALTHAMERICA NUMBER
PA1001913350005Medicaid
PA000000060339OtherMEDPLUS NUMBER
PA36OtherUPMC FOR YOU NUMBER
PA390107OtherBLACK LUNG NUMBER
PA60054OtherAETNA HMO NUMBER
PAP008392OtherCHAMPUS NUMBER
PAP008392OtherUNITED HEALTHCARE NUMBER