UPMC PRESBYTERIAN SHADYSIDE


Address: 200 Lothrop St, Pittsburgh, PA 15213-2536
Phone: 4124325500

UPMC PRESBYTERIAN SHADYSIDE (NPI# 1053471656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053471656
Entity Type Organization
Organization Name UPMC PRESBYTERIAN SHADYSIDE
Practice Address 200 Lothrop St
Pittsburgh
PA 15213-2536
Mailing Address Po Box 382007
Pittsburgh
PA 15251-8007
Practice Telephone 4124325500
Mailing Telephone 4124325500
Enumeration Date 2006-12-12
Last Update Date 2020-09-10
Authorized Official Name MR. JARED WEINER (CFO)
Authorized Official Telephone 4128647000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA PUH RENAL NUMBER 0013 01
PA ION HEALTHCARE NUMBER 1000019040151 01
PA CHRONIC RENAL NUMBER 98138 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194225318 Upmc Presbyterian Shadyside Pharmacy 3507 Victoria St., Room 105, Pittsburgh, PA 15213 2018-02-14
1477883429 Upmc Presbyterian Shadyside Clinic/Center 818 Braddock Ave, Braddock, PA 15104-1715 2010-01-13
1023666419 Upmc Presbyterian Shadyside Pharmacy 200 Lothrop Street, F186 Inpatient Pharmacy (c/o Alfred L'altrelli), Pittsburgh, PA 15213 2019-08-28
1841693173 Upmc Presbyterian Shadyside Pharmacy 3811 Ohara St, Suite 1516, Pittsburgh, PA 15213-2561 2014-10-01
1790945830 Upmc Presbyterian Shadyside Clinic/Center 200 Lothrop St, Pittsburgh, PA 15213-2536 2008-06-12
1518089200 Upmc Presbyterian Shadyside Substance Abuse Rehabilitation Facility 3811 Ohara St, Pittsburgh, PA 15213-2593 2007-04-04
1164544755 Upmc Presbyterian Shadyside Clinic/Center 3811 Ohara St, Pittsburgh, PA 15213-2593 2007-04-04
1821137639 Upmc Presbyterian Shadyside Pharmacy 5230 Centre Ave, Pittsburgh, PA 15232-1304 2007-02-06
1144384082 Upmc Presbyterian Shadyside Clinic/Center 200 Lothrop St, Pittsburgh, PA 15213-2536 2006-12-21
1962562561 Upmc Presbyterian Shadyside General Acute Care Hospital 200 Lothrop St, Pittsburgh, PA 15213-2536 2006-12-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UPMC PRESBYTERIAN SHADYSIDE 200 Lothrop St Ste N 739, Pittsburgh, PA 15213-2536
New York State Corporations UPMC PRESBYTERIAN SHADYSIDE 80 State Street, Albany, New York 12207-2543
North Carolina Corporations UPMC Presbyterian Shadyside 2 South Salisbury Street, Raleigh, NC 27601

Office Location

Street Address 200 LOTHROP ST
City PITTSBURGH
State PA
Zip Code 15213-2536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043214612 Kathy Sue Magdic Nurse Practitioner 200 Lothrop St, Forbes Tower Suite 10055b, Pittsburgh, PA 15213-2536 2005-06-10
1245841865 Stephanie Lynn Shriver Student in an Organized Health Care Education/Training Program 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-08-17
1881204428 Ashley Rose Rife Nurse Practitioner 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-08-07
1174133011 Allison M Kakabar Dietitian, Registered 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-08-05
1881203685 Elissa Ann Wegley Nurse Practitioner 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-07-28
1265040307 Erin Renee Mcmahan Student in an Organized Health Care Education/Training Program 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-07-15
1164047031 Garrett Michael Day Student in an Organized Health Care Education/Training Program 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-06-16
1487278818 Mikayla Lowenkamp Student in an Organized Health Care Education/Training Program 200 Lothrop St, Puh South Tower, Suite E362.4, Pittsburgh, PA 15213-2582 2020-06-01
1497379184 Dustin H Marks Internal Medicine 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-05-29
1124641071 Jonathan Peterson Student in an Organized Health Care Education/Training Program 200 Lothrop St, Pittsburgh, PA 15213-2536 2020-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093312951 Bozena Agnieszka Brooks Larsen Nurse Anesthetist, Certified Registered Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 2020-10-05
1255942272 Jessica Ann Joy Nurse Practitioner 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 2020-08-13
1487264750 Cornelius Norval Holmes Counselor Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 2020-08-03
1396354338 Brittany Briana Bromfield Student in an Organized Health Care Education/Training Program 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 2020-07-27
1003434309 Dominika Dulak Student in an Organized Health Care Education/Training Program 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 2020-07-13
1477176303 Clark Stallings Student in an Organized Health Care Education/Training Program 240 University Drive C, Pittsburgh, PA 15213 2020-05-27
1063034007 Yue Qiu Student in an Organized Health Care Education/Training Program 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 2020-05-13
1598387516 Bushra Usmani Student in an Organized Health Care Education/Training Program 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 2020-05-13
1306468335 Krupa Patel Student in an Organized Health Care Education/Training Program 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 2020-05-13
1548882798 Stephen Henry Bayer Student in an Organized Health Care Education/Training Program 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 2020-05-11
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1376157123 Fresenius Medical Care Southwest Pittsburgh, LLC Clinic/Center 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 2020-08-31
1992323976 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 2020-07-07
1982183224 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 251 Mount Nebo Pointe Rd, Pittsburgh, PA 15237-1313 2018-08-08
1851756183 Dialysis Clinic Inc Clinic/Center 376 Fisk Street, Pittsburgh, PA 15201-1752 2015-12-31
1821329830 Total Renal Care Inc Clinic/Center 1150 E Leland Rd, Pittsburgh, CA 94565-5319 2010-01-15
1003088477 Pittsburgh Dialysis Partners LLC Clinic/Center 7714 Penn Ave, Pittsburgh, PA 15221-2116 2008-03-26
1316042112 Renex Dialysis Clinic of Penn Hills, Inc. Clinic/Center 10922 (rear) Frankstown Rd, Pittsburgh, PA 15235 2006-09-14
1164527958 Bio-medical Applications of Pennsylvania, Inc. Clinic/Center Robinson Plaza #3-suite 110, Route 60, Pittsburgh, PA 15205 2006-09-14
1760586630 Bio-medical Applications of Pennsylvania, Inc. Clinic/Center 5301 5th Ave, Pittsburgh, PA 15232-2124 2006-09-12
1578667358 Renex Dialysis Clinic of Shaler, Inc. Clinic/Center 880 Butler St, Shaler Plaza, Pittsburgh, PA 15223-1319 2006-09-12
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Competitor

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City PITTSBURGH
Zip Code 15213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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