# UPMC PRESBY SHADYSIDE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Shadyside Physician Assistants/Hospitalists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518916766
- **Authorized official:** MARK EHALT (DIRECTOR)
- **Authorized official phone:** (412) 647-0943

## Contact information

- **Practice address:** 5230 CENTRE AVE, PITTSBURGH, PA 15232-1304
- **Practice address phone:** (412) 647-0943
- **Practice address fax:** (412) 647-4050
- **Mailing address:** 5230 CENTRE AVE, PITTSBURGH, PA 15232-1304
- **Mailing address phone:** (412) 647-0943
- **Mailing address fax:** (412) 647-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 05/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DB9217 | PALMETTO RR GROUP NUMBER | PA |