Provider Demographics
NPI:1083686026
Name:ST. CLAIR, STEVEN H (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:H
Last Name:ST. CLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 NORTHEAST GATEWAY COURT NE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2440
Mailing Address - Country:US
Mailing Address - Phone:704-403-9000
Mailing Address - Fax:704-403-9001
Practice Address - Street 1:1090 NORTHEAST GATEWAY COURT NE
Practice Address - Street 2:SUITE 201
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2440
Practice Address - Country:US
Practice Address - Phone:704-403-9000
Practice Address - Fax:704-403-9001
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC331512083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8979375Medicaid
NC7781287OtherAETNA
NC1642732OtherCIGNA HEALTHCARE
NC2161010OtherUNITED HEALTHCARE
NC232009OtherMEDICARE PTAN, GROUP
NC66659OtherMEDCOST
NC79375OtherBCBS
NC25988OtherPARTNERS MEDICARE CHOICE
NCD92876Medicare UPIN
NC66659OtherMEDCOST
NC2263966AMedicare PIN