Shadyside Cardiovascular, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SHADYSIDE CARDIOVASCULAR, PLLC

Practice address

5750 Centre Ave Ste 395
Pittsburgh, PA 15206-3729

Phone

(412) 688-6414

Fax

(412) 945-7220

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Garrett, MDNPI 1861456527

Title

Principal

Phone

(412) 688-6414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey S Garrett, MD

  • Interventional Cardiology Physician
  • Pittsburgh, PA
  • NPI 1861456527

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Leroy C Moore, MD

  • Nuclear Cardiology Physician
  • Pittsburgh, PA
  • NPI 1629032172

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1275205171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 BEECHWOOD BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171714",
            "telephone_number": "412-216-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE STE 395",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063729",
            "telephone_number": "412-688-6414",
            "fax_number": "412-945-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADYSIDE CARDIOVASCULAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "412-688-6414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabbir Lakdawala, MD PC
• Richard Kingsley Shadduck, MD
• Daniel Anthony Shade Jr., MD
• Shady Med Inc
• Shadyside Cardiology Rotation PC
• Shadyside Eye Associates. LLC
• Shadyside Nursing and Rehabilitation Center-Pittsburgh PA, LLC
• Shadyside Optical Associates LLC
• Shadyside Psychological Services
• Shadyside SNF Healthcare LLC

• Cardiovascular Disease Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.