SHADYSIDE SURGI-CENTER, INC. (NPI# 1952408783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952408783 |
| Entity Type | Organization |
| Organization Name | SHADYSIDE SURGI-CENTER, INC. |
| Practice Address |
5727 Centre Ave Pittsburgh PA 15206-3707 |
| Practice Telephone | 4123636626 |
| Practice Fax Number | 4123637008 |
| Mailing Telephone | 4123636626 |
| Mailing Fax Number | 4123637008 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | RAYMOND A CAPONE JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4123636626 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001506187002 | 05 | |
| PA | HIGHMARK ID | 0177 | 01 |
| Street Address |
5727 CENTRE AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15206-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871690685 | Martha R Clarke | Pathology | 5727 Centre Ave, Pittsburgh, PA 15206-3707 | 2006-09-20 |
| 1619502952 | Jessica Capone | Nurse Practitioner | 5727 Centre Ave, Pittsburgh, PA 15206-3707 | 2020-03-06 |
| 1861906786 | Stat Anesthesia Specialists | Anesthesiology | 5727 Centre Ave, Pittsburgh, PA 15206-3707 | 2017-11-30 |
| 1114217643 | Avery C Capone | Plastic Surgery | 5727 Centre Ave, Pittsburgh, PA 15206-3707 | 2011-04-18 |
| 1649377474 | Raymond A Capone Jr. | Plastic Surgery | 5727 Centre Ave, Pittsburgh, PA 15206-3707 | 2006-09-20 |
| 1942308770 | R.a. Capone, Jr., M.d., P.C. | Specialist | 5727 Centre Ave, Pittsburgh, PA 15206-3707 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827411 | Tania Hawkins | Specialist | 5744 Baum Blouvard, Shadyside, PA 15206 | 2019-08-26 |
| 1073091252 | Elizabeth Kathryn Allen | Counselor | 220 N Fairmount St Apt 3, Pittsburgh, PA 15206 | 2018-07-31 |
| 1730603408 | Jennifer Marie Zapata | Counselor | 1391 Washington Boulevard, Pittsburgh, PA 15206 | 2017-08-03 |
| 1164942462 | Shanna L Tresatti | Counselor | 1391 Washington Blvd., Pittsburgh, PA 15206 | 2017-06-27 |
| 1457880858 | Keith Hill Sr. | Counselor | 6925 Churchland Street, Pittsburgh, PA 15206 | 2017-06-08 |
| 1245766310 | Prime Psychiatric Care, LLC | Clinic/Center | 6245 Living Place, Suite 2085, Pittsburgh, PA 15206 | 2017-05-10 |
| 1144765868 | Elizabeth Sherman | Occupational Therapist | 5877 Commerce St Ste 2, Pittsburgh, PA 15206 | 2017-01-04 |
| 1649626730 | Sarah Lubiejewski | Dentist | 5986 Centre Ave, Suite C-201, Pittsburgh, PA 15206 | 2016-05-09 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1750740155 | Perfect Smile Dental Group PC | Dentist | 715 N Highland Ave Ste 1, Pittsburgh, PA 15206 | 2016-02-15 |
| Find all providers in zip 15206 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659408300 | Centre Avenue Group, LLC | Clinic/Center | 5800 Centre Ave, Pittsburgh, PA 15206-3710 | 2007-02-28 |
| 1548240633 | North Shore Ambulatory Surgical | Clinic/Center | 2 Allegheny Ctr, Pittsburgh, PA 15212-5402 | 2006-01-17 |
| 1720069750 | Digestive Health and Endoscopy Center, Inc. | Clinic/Center | 1000 Integrity Dr, Suite 110, Pittsburgh, PA 15235-3332 | 2005-11-08 |
| 1558613067 | Ambulatory Surgery Center At The Jefferson Pain & Rehab Center | Clinic/Center | 4735 Clairton Blvd, Pittsburgh, PA 15236-2115 | 2012-10-08 |
| 1730330903 | The Center for Cosmetic Surgery, PC | Clinic/Center | 2275 Swallow Hill Rd, Suite 2400, Pittsburgh, PA 15220-1656 | 2008-10-07 |
| 1396996013 | The Center for Cosmetic Surgery, PC | Clinic/Center | 2275 Swallow Hill Rd, Suite 2400, Pittsburgh, PA 15220-1656 | 2008-10-01 |
| 1336324045 | Mccandless Endoscopy Center, LLC | Clinic/Center | 9335 Mcknight Rd, Suite 200, Pittsburgh, PA 15237-5903 | 2008-01-02 |
| 1649392242 | St. Clair Memorial Hospital | Clinic/Center | 1000 Bower Hill Road, Pittsburgh, PA 15243-1899 | 2007-04-04 |
| 1952420325 | The Western Pennsylvania Hospital | Clinic/Center | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2007-03-28 |
| 1275658304 | Upmc Children's Hospital of Pittsburgh | Clinic/Center | 4401 Penn Ave, Pittsburgh, PA 15224 | 2007-03-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15206 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.