Organization Active NPI

East Side Pediatrics, P.C.

  • Primary Care Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1437357639
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD 039990 E Issued in PA
Legal business name
EAST SIDE PEDIATRICS, P.C.
Practice address
5808 Eva St
Pittsburgh, PA 15206-3813
Phone
(412) 363-7700
Fax
(412) 363-6370
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. Carl Hildebrandt, MD
Title
President, Ceo
Phone
(412) 363-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD 039990 E PA Primary

Addresses

Primary practice location

5808 Eva St
Pittsburgh, PA 15206-3813

Mailing address

5808 Eva St
Pittsburgh, PA 15206-3813

Other identifiers 1

IdentifierTypeStateIssuer
1188180MedicaidPA

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
39D0961461East Side Pediatrics5808 Eva Street, Pittsburgh, PA 15206Provider-performed microscopyJun 7, 2027

National Provider Directory

National Provider Directory

Locations

5808 Eva St
Pittsburgh, PA 15206
Phone (412) 363-7700

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1437357639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 EVA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 EVA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063813",
            "telephone_number": "412-363-7700",
            "fax_number": "412-363-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "412-363-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD 039990 E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188180",
            "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 Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.