Provider Demographics
NPI:1447751979
Name:ST CLAIR MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ST CLAIR MEDICAL SERVICES INC
Other - Org Name:ST CLAIR FAMILY PRACTICE ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SV & CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTTRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-942-1202
Mailing Address - Street 1:1000 BOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-942-2548
Mailing Address - Fax:412-942-2689
Practice Address - Street 1:2000 OXFORD DR STE 302
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1841
Practice Address - Country:US
Practice Address - Phone:412-854-8491
Practice Address - Fax:412-854-5491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. CLAIR HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-21
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty