Provider Demographics
NPI:1477840932
Name:UPMC
Entity Type:Organization
Organization Name:UPMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:CHOLE
Authorized Official - Last Name:MARCINO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:740-266-3900
Mailing Address - Street 1:4985 STATE ROUTE 213
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964-7967
Mailing Address - Country:US
Mailing Address - Phone:740-266-6790
Mailing Address - Fax:
Practice Address - Street 1:3204 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2354
Practice Address - Country:US
Practice Address - Phone:740-266-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP12391261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology