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
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140485
MEDPLUS NUMBER
PA
05
—
0001672000
—
WV
01
—
0006491150
AETNA US HEALTHCARE NUMBE
PA
01
—
0009609
PUH AENTA HMO NUMBER
PA
01
—
0012010
SHY AENTA HMO NUMBER
PA
01
—
0013
HIGHMARK PROVIDER NUMBER
PA
01
—
00814902
PUH NY MEDICAID NUMBER
NY
05
—
00814902
—
NY
05
—
0101249
—
WV
05
—
1000019040029
—
PA
01
—
1001064
SHY GATEWAY NUMBER
PA
01
—
1001449
GATEWAY NUMBER
PA
01
—
29
UPMC HEALTH PLAN NUMBER
PA
01
—
390164
HEALTHAMERICA NUMBER
PA
05
—
7061889
—
OH
01
—
7066379
UNITED HEALTHCARE NUMBER
PA
Enumeration date
08/07/2006
Last updated
11/27/2023
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