Organization Active NPI

South Hills Diagnostic & Treatment Center LP

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1033214903
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTH HILLS DIAGNOSTIC & TREATMENT CENTER LP
Practice address
2589 Boyce Plaza Rd
Pittsburgh, PA 15241-4907
Phone
(412) 838-0400
Fax
(412) 838-0401
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Beth Garofalo, MBA
Title
Administrator
Phone
(412) 232-8104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PA Primary

Addresses

Primary practice location

2589 Boyce Plaza Rd
Pittsburgh, PA 15241-4907

Mailing address

2589 Boyce Plaza Rd
Pittsburgh, PA 15241-4907
Phone (412) 838-0400

Other names 1

  • South Hills Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051010000051 PA Part B Supplier - Ambulatory Surgical Center 8921023904 Practice locations: Pittsburgh, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
South Hills Endoscopy CenterCCN 39C0001193
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1041236South Hills Diag and Treatment Ctr LP2589 Boyce Plaza Road, Upper St Clair, PA 15241Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Locations

2589 Boyce Plaza Rd
Upper St Clair, PA 15241
Phone (412) 232-8104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1033214903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 BOYCE PLAZA RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152414907",
            "telephone_number": "412-838-0400",
            "fax_number": "412-838-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 BOYCE PLAZA RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152414907",
            "telephone_number": "412-838-0400",
            "fax_number": "412-838-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS DIAGNOSTIC & TREATMENT CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-232-8104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hills Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.