SHELLY CATHERINE POLYDOR


Address: 3459 Fifth Avenue, 7 South, Pittsburgh, PA 15213
Phone: 4126475800

SHELLY CATHERINE POLYDOR (NPI# 1912418989) 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) 1912418989
Entity Type Individual
Full Name SHELLY CATHERINE POLYDOR
Credential PA-C
Practice Address 3459 Fifth Avenue
7 South
Pittsburgh
PA 15213
Practice Telephone 4126475800
Practice Fax Number 4126470362
Mailing Telephone 4126475800
Mailing Fax Number 4126470362
Enumeration Date 2017-10-18
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical 		MA059774 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 14281018 01

Office Location

Street Address 3459 FIFTH AVENUE
7 SOUTH
City PITTSBURGH
State PA
Zip Code 15213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922038470 Roberta Irene Gillespie Physician Assistant 3459 Fifth Avenue, Upmc Montefiore, 7 South, Pittsburgh, PA 15123-2582 2006-07-03
1770106973 Emily April Min Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, Suite 9 South, Pittsburgh, PA 15213 2020-05-21
1043846322 Rachel Marie Sutton Genetic Counselor, MS 3459 Fifth Avenue, Nw 628 Upmc Muh, Pittsburgh, PA 15213 2020-03-18
1730673856 Anthony Floyd Higinbotham Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, Upmc Montefiore Hospital, 9 South, Pittsburgh, PA 15213 2018-06-21
1255823183 Vivek Verma Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, 9 South, Pittsburgh, PA 15213 2018-06-06
1497247423 Emily Nicole Galli Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, 9 South, Pittsburgh, PA 15213 2018-06-05
1801388194 Andrew Robert Murphy Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, 9 South, Pittsburgh, PA 15213 2018-06-01
1053803593 Madison Elaine Stellfox Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, 9 South, Pittsburgh, PA 15213 2018-05-31
1700378239 Desiree Markantone Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, Upmc Montefiore Hospital 9 South, Pittsburgh, PA 15213 2018-05-31
1336630011 Emre Resat Cakmak Student in an Organized Health Care Education/Training Program 3459 Fifth Avenue, 9 South, Pittsburgh, PA 15213 2018-05-29
Find all providers in the same location

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 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013526441 Kala Ann Cinker Physician Assistant 120 Parkhurst St, Pittsburgh, PA 15212-4749 2020-07-31
1215570825 Douglas Pascal Placais Physician Assistant 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 2019-10-26
1336781145 Brooke Scheider Physician Assistant 815 Agnew Road, Pittsburgh, PA 15227 2019-10-14
1952942930 Emily M Rice Physician Assistant 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 2019-10-01
1619523024 Gabrielle M Sibilia Physician Assistant 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 2019-08-12
1407409618 Jacob Birkline Physician Assistant 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 2019-07-17
1568954386 Kristen Ashley Mcgarity Physician Assistant 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 2018-06-06
1164930855 Scott Maniglia Physician Assistant 1315 Locust St., Suite 105, Pittsburgh, PA 15219 2018-01-16
1548772171 Kristen Ann Beatrice Jarvis Physician Assistant 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 2017-11-05
1831600774 Audrey A Hayward Physician Assistant Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 2017-10-18
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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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