North Shore Ambulatory Surgical

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

4271500 Issued in PA

Legal business name

NORTH SHORE AMBULATORY SURGICAL

Practice address

2 Allegheny Ctr
Pittsburgh, PA 15212-5402

Phone

(412) 231-0200

Fax

(412) 231-0613

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack E Demos, M.D.

Title

Owner

Phone

(412) 231-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jack Demos MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack Demos, M.D., Inc.

  • Plastic Surgery Physician
  • Pittsburgh, PA
  • NPI 1821114521
  NPD tax ID

Locations

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548240633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEGHENY CTR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125402",
            "telephone_number": "412-231-0200",
            "fax_number": "412-231-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEGHENY CTR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125402",
            "telephone_number": "412-231-0200",
            "fax_number": "412-231-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE AMBULATORY SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMOS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-231-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "4271500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0164",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Hills Psychological Services, P.C.
• North Hills School District
• North Park Ophthalmology PC
• North Park Ophthalmology PC
• North Pittsburgh Oral Surgery Assoc LTD
• North Shore Counseling Services
• North Shore Endoscopy Center, LLC
• North Side Christian Health Center
• North Side Christian Health Center
• North Side Christian Health Center

• Ambulatory Surgical Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• 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.

Verify at the official NPI Registry.