Provider Demographics
NPI:1477275485
Name:SCT PHYSICIANS
Entity Type:Organization
Organization Name:SCT PHYSICIANS
Other - Org Name:SCT MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:216-398-0349
Mailing Address - Street 1:6993 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7831
Mailing Address - Country:US
Mailing Address - Phone:216-398-0349
Mailing Address - Fax:
Practice Address - Street 1:2100 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:BROADVIEW
Practice Address - State:IL
Practice Address - Zip Code:60155-3957
Practice Address - Country:US
Practice Address - Phone:216-398-0349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCT OPERATIONS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-15
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care