1376376681 NPI number — UPMC EAST SIDE SURGERY CENTER

Table of content: (NPI 1376376681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376376681 NPI number — UPMC EAST SIDE SURGERY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC EAST SIDE SURGERY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376376681
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 GRANT STREET
Provider Second Line Business Mailing Address:
U.S. STEEL TOWER, 57TH FLOOR
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15219-2738
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-647-8637
Provider Business Mailing Address Fax Number:
412-647-7852

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5800 CENTRE AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15206-3794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-924-0054
Provider Business Practice Location Address Fax Number:
412-924-0056
Provider Enumeration Date:
08/22/2024

Additional Information

Authorized Official

Authorized Official Last Name:
DEEMS
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
WESLEY
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
412-864-3371

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com