Organization
UPMC PRESBY SHADYSIDE
Active
Other names
Shadyside Physician Assistants/Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
5230 CENTRE AVE, PITTSBURGH, PA 15232-1304
(412) 647-0943
(412) 647-4050
Mailing address
5230 CENTRE AVE, PITTSBURGH, PA 15232-1304
(412) 647-0943
(412) 647-4050
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB9217
PALMETTO RR GROUP NUMBER
PA
Enumeration date
05/08/2006
Last updated
05/13/2010
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