Provider Demographics
NPI:1871997155
Name:CLAIR, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CLAIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CONNEAUT DR
Mailing Address - Street 2:UPMC ST MARGARET HOSPITAL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 RUSTIC LODGE RD
Practice Address - Street 2:UPMC ST MARGARET HOSPITAL
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3403
Practice Address - Country:US
Practice Address - Phone:724-463-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057274363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA057274OtherPENSYLVANIA STATE BOARD OF MEDICINE, LICENSE NUMBER