Individual provider Active NPI

Dwayne Shuhart

  • Pediatrics Physician
  • Blairsville, PA
National Provider Identifier
1750384889
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD047579L Issued in PA
Practice address
56 Club LN
Blairsville, PA 15717-7957
Phone
(724) 459-6560
NPI assigned
May 23, 2005
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD047579L PA Primary

Addresses

Primary practice location

56 Club LN
Blairsville, PA 15717-7957

Mailing address

11279 Perry Hwy
Ste 450
Wexford, PA 15090-9303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwayne.t.shuhart@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD047579LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Community Care Pediatrics PastSince May 10, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Children's Community Care Pediatrics Past Accepting new patients
Childrens Community Pediatrics Pediatrics Past Accepting new patients
Childrens Community Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dshuhart@direct.excelahealth.org
  • Direct secure messaging: dwayne.t.shuhart@upmcdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1750384889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11279 PERRY HWY",
            "address_2": "STE 450",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLUB LN",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177957",
            "telephone_number": "724-459-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUHART",
        "first_name": "DWAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD047579L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwayne.t.shuhart@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.