Provider Demographics
NPI:1871519850
Name:ST CLAIR MEDICAL SERVICES
Entity type:Organization
Organization Name:ST CLAIR MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:412-942-2589
Practice Address - Street 1:5301 GROVE RD STE 631
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1693
Practice Address - Country:US
Practice Address - Phone:412-942-9105
Practice Address - Fax:412-563-6697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. CLAIR HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-14
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000456JFZMedicare UPIN
PA516718Medicare ID - Type Unspecified
S42883Medicare PIN