Healthcare Provider Details

I. General information

NPI: 1154380384
Provider Name (Legal Business Name): ST CLAIR ANESTHESIOLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

IV. Provider business mailing address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-344-6600
  • Fax: 412-572-6747
Mailing address:
  • Phone: 412-344-6600
  • Fax: 412-572-6747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: PAMALYN PATNESKY
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 412-942-2548