UPMC PRESBYTERIAN SHADYSIDE (NPI# 1790945830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790945830 |
| Entity Type | Organization |
| Organization Name | UPMC PRESBYTERIAN SHADYSIDE |
| Practice Address |
200 Lothrop St Pittsburgh PA 15213-2536 |
| Mailing Address |
Po Box 382007 Pittsburgh PA 15250-8007 |
| Practice Telephone | 4124325500 |
| Mailing Telephone | 4124325500 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MR. PAUL CASTILLO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4126477713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK PROVIDER NUMBER | 1560842 | 01 |
| 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 |
| 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 |
200 LOTHROP ST |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-2536 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1437791761 | Adverse Childhood Experience | Clinic/Center | 208 Long Rd, Pittsburgh, PA 15235-3145 | 2019-10-08 |
| 1952942625 | Rayna Copperman LLC | Clinic/Center | 5908 Bryant St, Pittsburgh, PA 15206-1606 | 2019-10-03 |
| 1144718172 | C Michaela Jacks LLC | Clinic/Center | 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 | 2018-04-25 |
| 1376040568 | Janelle Maloch LLC | Clinic/Center | 5908 Bryant St Ste 5, Pittsburgh, PA 15206-1606 | 2018-04-12 |
| 1386016624 | Orenda Counseling Center, LLC | Clinic/Center | 1386 Old Freeport Rd, Suite 1af, Pittsburgh, PA 15238-3115 | 2015-10-27 |
| 1124498050 | Orenda Counseling Center, LLC | Clinic/Center | 1386 Old Freeport Rd, Suite 1af, Pittsburgh, PA 15238-3115 | 2015-10-05 |
| 1710353016 | Pittsburgh Psychiatric and Psychological Services | Clinic/Center | 2008 Murray Ave, Suite A2, Pittsburgh, PA 15217-2169 | 2015-08-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on UPMC PRESBYTERIAN SHADYSIDE.
| 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.