Basic Information
| Provider Information | |||||||||
| NPI: | 1649764390 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIPCSEY | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | SHEA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 FORBES AVE | ||||||||
| Address2: | FORBES TOWER - PLAZA LEVEL SUITE 140 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176677000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 LOTHROP STREET | ||||||||
| Address2: | UPMC DIGESTIVE DISEASE CENTER, UPMC PRESBYTERIAN, 3RD F | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126478666 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2018 | ||||||||
| LastUpdateDate: | 06/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 275999 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | 275999 | MA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
ID Information
| ID | Type | State | Issuer | Description | BB5078654ML031 | 01 | MA | BIDMC DEA NUMBER | OTHER |