Active NPI
Upmc South Side
- Ambulatory Surgical Clinic/Center
- Pittsburgh, PA
National Provider Identifier
1053475996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UPMC SOUTH SIDE
- Practice address
- 2000 Mary St
Pittsburgh, PA 15203-2054 - Phone
- (412) 432-5500
- NPI assigned
- Dec 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Miller, CFO
- Title
- Cfo
- Phone
- (412) 488-5573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2000 Mary St
Pittsburgh, PA 15203-2054
Mailing address
PO Box 382007
Pittsburgh, PA 15250-8007
Phone (412) 488-5573
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007727710008 | Other | PA | ION HEALTHCARE NUMBER |
| 100772770008 | Medicaid | PA | |
| 000000056465 | Other | PA | MEDPLUS NUMBER |
| 0016 | Other | PA | HIGHMARK PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Upmc South Side
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital Unit
- Pittsburgh, PA
- NPI 1194734129
-
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1114937745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053475996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382007",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152508007",
"telephone_number": "412-488-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MARY ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032054",
"telephone_number": "412-432-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC SOUTH SIDE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "412-488-5573",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ION HEALTHCARE NUMBER",
"identifier": "1007727710008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100772770008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS NUMBER",
"identifier": "000000056465",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "0016",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.