Active NPI
Upmc Presbyterian Shadyside
- General Acute Care Hospital
- Pittsburgh, PA
National Provider Identifier
1962562561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- UPMC PRESBYTERIAN SHADYSIDE
- Practice address
- 200 Lothrop St
Pittsburgh, PA 15213-2536 - Phone
- (412) 432-5500
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Castillo, CFO
- Title
- Cfo
- Phone
- (412) 647-7713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
200 Lothrop St
Pittsburgh, PA 15213-2536
Mailing address
PO Box 382007
Pittsburgh, PA 15250-8007
Phone (412) 432-5500
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001064 | Other | PA | SHY GATEWAY NUMBER |
| 0001672000 | Medicaid | WV | |
| 0006491150 | Other | PA | AENTA US HEALTHCARE NUMBE |
| 0009609 | Other | PA | AETNA HMO NUMBER |
| 0012010 | Other | PA | SHY AETNA HMO NUMBER |
| 00690079 | Other | NJ | PUH NJ MEDICAID NUMBER |
| 00814902 | Medicaid | NY | |
| 0000000140485 | Other | PA | MEDPLUS NUMBER |
| 0013 | Other | PA | BLUE CROSS NUMBER |
| 0101249 | Medicaid | WV | |
| 29 | Other | PA | UPMC FOR YOU NUMBER |
| 7066379 | Other | PA | UNITED HEALTHCARE NUMBER |
| 29 | Other | PA | UPMC HEALTH PLAN NUMBER |
| 390164 | Other | PA | HEALTHAMERICA NUMBER |
| 7061889 | Medicaid | OH | |
| 1000019040029 | Other | PA | PA MEDICAID NUMBER |
| 1001449 | Other | PA | GATEWAY NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Matilda Theiss Health Center
Other organizations with this tax ID 28
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- NPI 1427430941
-
- Professional Counselor
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- NPI 1447701131
-
- General Acute Care Hospital
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
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-
- Student in an Organized Health Care Education/Training Program
- Pittsburgh, PA
- NPI 1952852253
-
dba UPMC Presbyterian Prescription Shop
- Community/Retail Pharmacy
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1962562561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382007",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152508007",
"telephone_number": "412-432-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-432-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC PRESBYTERIAN SHADYSIDE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "412-647-7713",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHY GATEWAY NUMBER",
"identifier": "1001064",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001672000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA US HEALTHCARE NUMBE",
"identifier": "0006491150",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO NUMBER",
"identifier": "0009609",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHY AETNA HMO NUMBER",
"identifier": "0012010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUH NJ MEDICAID NUMBER",
"identifier": "00690079",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00814902",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS NUMBER",
"identifier": "0000000140485",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "0013",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101249",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC FOR YOU NUMBER",
"identifier": "29",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE NUMBER",
"identifier": "7066379",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN NUMBER",
"identifier": "29",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA NUMBER",
"identifier": "390164",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7061889",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAID NUMBER",
"identifier": "1000019040029",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY NUMBER",
"identifier": "1001449",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
- Upmc Presbyterian Shadyside
- Upmc Presbyterian Shadyside (Upmc Presbysterian Shadyside Campus PHRM)
- Upmc Presbyterian Shadyside (Western Psychiatric Institute and Clinic)
- Upmc Presbyterian Shadyside
- Upmc Presbyterian Shadyside
- Upmc Senior Communities
- Upmc Shadyside
- Upmc South Side
- Upmc South Side
- Upmc South Side
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.