UPMC PRESBYTERIAN SHADYSIDE (NPI# 1477883429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477883429 |
Entity Type | Organization |
Organization Name | UPMC PRESBYTERIAN SHADYSIDE |
Other Organization Name | BRADDOCK DENTAL CENTER OF UPMC PRESBYTERIAN SHADYSIDE |
Practice Address |
818 Braddock Ave Braddock PA 15104-1715 |
Practice Telephone | 4126365187 |
Practice Fax Number | 4126365248 |
Mailing Telephone | 4126365187 |
Mailing Fax Number | 4126365248 |
Enumeration Date | 2010-01-13 |
Last Update Date | 2010-01-13 |
Authorized Official Name | MR. PAUL CASTILLO (CFO) |
Authorized Official Telephone | 4126477713 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
DS027386L | PA | Ambulatory Health Care Facilities |
N | 261QD0000X |
Clinic/Center Specialization: Dental |
DS030969L | PA | Ambulatory Health Care Facilities |
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS037519 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007360690004 | 05 |
Other Name | Type Code |
---|---|
Braddock Dental Center of UPMC Presbyterian Shadyside | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194225318 | Upmc Presbyterian Shadyside | Pharmacy | 3507 Victoria St., Room 105, Pittsburgh, PA 15213 | 2018-02-14 |
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 |
1053471656 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-12 |
1962562561 | Upmc Presbyterian Shadyside | General Acute Care Hospital | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-12 |
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 |
Street Address |
818 BRADDOCK AVE |
City | BRADDOCK |
State | PA |
Zip Code | 15104-1715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
Find all providers in zip 15104 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
1710585815 | Tpg Dmd, LLC | Clinic/Center | Grande Plaza 1103 Rocky Dr, Suite 205, West Lawn, PA 19609 | 2020-10-12 |
1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
Find all providers with the same taxonomy |
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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.