Healthcare Provider Details

I. General information

NPI: 1669754099
Provider Name (Legal Business Name): ST CLAIR MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 BOWER HILL RD STE 208
PITTSBURGH PA
15243-1868
US

IV. Provider business mailing address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-572-6192
  • Fax: 412-572-6193
Mailing address:
  • Phone: 412-942-2548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

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