OrganizationActive
Upmc Community Medicine Inc
NPI 1003228172 · Family Medicine Physician · Conneaut Lake, PA
Provider details
- NPI number
- 1003228172
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Ehalt, Sr.director(412) 647-0943
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11065 State Highway 18
Suite 1
Conneaut Lake, PA 16316-3569
Phone: (814) 382-6550
Street-level locationGet directions
Mailing address
11065 State Highway 18
Conneaut Lake, PA 16316-3569
Other names (DBA / former)
- Other name
- Lakeside Family Medicine-Upmc
Registry dates
- Enumerated
- 2014-05-23
- Last updated
- 2014-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.