Organization Active NPI

South Hills Orthopaedic Surgery Associates, PC

  • Orthopaedic Surgery Physician
  • Bethel Park, PA
National Provider Identifier
1285667915
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH HILLS ORTHOPAEDIC SURGERY ASSOCIATES, PC
Practice address
2000 Oxford Drive
Suite 211
Bethel Park, PA 15102-1827
Phone
(412) 429-0880
Fax
(412) 429-1622
NPI assigned
Jul 8, 2006
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Christopher Ravenstahl
Title
Practice Administrator
Phone
(412) 283-0260

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

2000 Oxford Drive
Suite 211
Bethel Park, PA 15102-1827

Mailing address

2000 Oxford Drive
Suite 211
Bethel Park, PA 15102-1827
Phone (412) 429-0880

Other identifiers 1

IdentifierTypeStateIssuer
CK0408OtherPARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@shosa.exscribedirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050413000268 PA Part B Supplier - Clinic/Group Practice 8921045774 Receives reassigned benefits from 23 practitioners
Practice locations: Bethel Park, PA; Pittsburgh, PA
O20200110002081 PA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8921045774 Practice locations: Bethel Park, PA

National Provider Directory

National Provider Directory

Locations

2000 Oxford Dr
Ste 211
Bethel Park, PA 15102
Phone (412) 283-0260

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1285667915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DRIVE",
            "address_2": "SUITE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-429-0880",
            "fax_number": "412-429-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DRIVE",
            "address_2": "SUITE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-429-0880",
            "fax_number": "412-429-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS ORTHOPAEDIC SURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "RAVENSTAHL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "412-283-0260"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK0408",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@shosa.exscribedirect.com",
            "affiliation": "N",
            "endpointDescription": "Main Office DM Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA Only",
            "address_1": "2000 Oxford Dr Ste 211",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.