Organization
UPMC PRESBYTERIAN SHADYSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED WEINER (CFO)
(412) 864-7000
Entity
Organization
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 432-5500
Mailing address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013
HIGHMARK PROVIDER NUMBER
PA
05
—
10001904
—
PA
Enumeration date
12/21/2006
Last updated
11/27/2023
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