Healthcare Provider Details

I. General information

NPI: 1891091831
Provider Name (Legal Business Name): ST CLAIR MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OXFORD DR STE 301
BETHEL PARK PA
15102-1841
US

IV. Provider business mailing address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-942-7850
  • Fax: 412-942-7819
Mailing address:
  • Phone: 412-942-2548
  • Fax: 412-942-2589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD043032L
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIC LUTTRINGER
Title or Position: SVP & CFO
Credential:
Phone: 412-942-1202