Provider Demographics
NPI:1750374153
Name:SCOTT MEDICAL HEALTH CENTER, PC
Entity type:Organization
Organization Name:SCOTT MEDICAL HEALTH CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/INSURANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHUCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-338-5845
Mailing Address - Street 1:2275 SWALLOW HILL ROAD
Mailing Address - Street 2:BUILDING 2600
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1656
Mailing Address - Country:US
Mailing Address - Phone:412-279-4522
Mailing Address - Fax:412-279-3828
Practice Address - Street 1:2275 SWALLOW HILL ROAD
Practice Address - Street 2:BUILDING 2600
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1656
Practice Address - Country:US
Practice Address - Phone:412-279-4522
Practice Address - Fax:412-279-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA096039Medicare ID - Type UnspecifiedMEDICARE/BLUE SHIELD GRP#