Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

UPMC Community Medicine Inc

Organization Family Medicine Physician · NPI 1003228172

UPMC Community Medicine Inc is a Family Medicine Physician in Conneaut Lake, Pennsylvania. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11065 State Highway 18 Ste 1
Conneaut Lake, PA 16316-3569
Phone: (814) 382-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003228172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ehalt — Sr.Director · (412) 647-0943
Other names Lakeside Family Medicine-Upmc
NPI enumeratedMay 23, 2014
Last updated in NPPESMay 23, 2014
Mailing address11065 State Highway 18, Suite 1, Conneaut Lake, PA 16316-3569

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