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RENAISSANCE FAMILY PRACTICE, UPMC-MILLVALE
NPI 1568504728
Non-Pharmacy Dispensing Site in Pittsburgh, PA

Active since February 13, 2007
111 SHERIDAN ST, PITTSBURGH, PA 15209(412) 821-2277 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renaissance Family Practice, Upmc-millvale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE FAMILY PRACTICE, UPMC-MILLVALE (NPI 1568504728) is a healthcare organization registered as a non-pharmacy dispensing site in Pittsburgh, Pennsylvania and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1568504728
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameRENAISSANCE FAMILY PRACTICE, UPMC
Location Address111 SHERIDAN STPittsburgh, PA 15209-2639
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(412) 821-2277
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 13, 2007
Last NPPES UpdateOctober 17, 2012
✔ NPI 1568504728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in PA · MD018049E
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
111 SHERIDAN ST, Pittsburgh, PA 15209
Open in Google Maps ↗

Other Names 1

Doing Business AsRenaissance Family Practice, Upmc-millvale

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT L CARRELL MD
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
DAVID VATTATHARA POLSON MD
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
RENAISSANCE FAMILY PRACTICE-UPMC,INC
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
RENAISSANCE FAMILY PRACTICE, INC
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
SARAH LARKIN
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
EMILY KOSTY
Physician Assistant (Medical)
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
ELAINE BORON DO
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277
DR. HENRY A BAKKILA MD
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Allegheny County (412) 821-2277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Family Practice, Upmc's NPI number?

The NPI number for Renaissance Family Practice, Upmc is 1568504728. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Renaissance Family Practice, Upmc-Millvale.

Where is Renaissance Family Practice, Upmc located?

Renaissance Family Practice, Upmc is located at 111 Sheridan St, Pittsburgh, PA 15209. The listed phone number is (412) 821-2277.

What is Renaissance Family Practice, Upmc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Renaissance Family Practice, Upmc was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.