Provider Demographics
NPI:1891091831
Name:ST CLAIR MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:ST CLAIR MEDICAL SERVICES, INC.
Other - Org Name:BUDWAY SURGICAL ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SVP & 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 301
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:412-942-7850
Practice Address - Fax:412-942-7819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST CLAIR HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-09
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043032L208600000X
208600000X, 363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty