NPI Code Details Logo

NPI 1467485565

NPI 1467485565 : ST CLAIR MEDICAL SERVICES, INC. : PITTSBURGH, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1467485565
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ST CLAIR MEDICAL SERVICES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/09/2006
-----------------------------------------------------
    Last Update Date     |    02/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1000 BOWER HILL RD 
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15243-1873
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-942-4800
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1000 BOWER HILL RD 
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15243-1873
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-942-2548
-----------------------------------------------------
    Fax                  |    412-942-2589
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    SVP/ CFO
-----------------------------------------------------
    Name                 |     ERIC  LUTTRINGER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    412-942-1202
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RE0101X
-----------------------------------------------------
    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.