UPMC PRESBYTERIAN SHADYSIDE


Address: 818 Braddock Ave, Braddock, PA 15104-1715
Phone: 4126365187

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007360690004 05

Other Provider/Organization Names

Other Name Type Code
Braddock Dental Center of UPMC Presbyterian Shadyside Doing Business As Name - Organization

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
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

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 818 BRADDOCK AVE
City BRADDOCK
State PA
Zip Code 15104-1715

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City BRADDOCK
Zip Code 15104

Improve Information

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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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