NPIMap

Individual provider Active NPI

Clarence Daniel Lin, M.D

  • Surgery Physician
  • Bethel Park, PA
National Provider Identifier
1073824975
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD467438 Issued in PA
Practice address
2000 Oxford Dr Ste 216
Bethel Park, PA 15102-1898
Phone
(412) 942-7880
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD16311 RI
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X MD467438 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 216
Bethel Park, PA 15102-1898

Mailing address

1000 Bower Hill Road
Attn Affiliate Billing Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

164 Summit Ave # C70
Providence, RI 02906
Phone (401) 793-2930

Other practice location 2

3928 Washington Rd Ste 270
Mc Murray, PA 15317-2593
Phone (412) 942-7880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190817000035 PA Practitioner - General Surgery 9436470010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Murphy Ave 2ND FL
Mon Vale Surgical Assoc
Connellsville, PA 15425-2724
Phone (724) 929-4122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD467438PAMDSurgery Physician
MD16311RIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Aug 12, 2019 Accepting new patients
Mon-Vale Specialty Practices, Inc Current Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Aug 12, 2019 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Mon-Vale Specialty Practices, Inc Surgery CurrentSince May 1, 2024 Accepting new patients
Mon-Vale Specialty Practices, Inc CurrentSince May 1, 2024 Accepting new patients

Locations

2000 Oxford Dr
Ste 216
Bethel Park, PA 15102
Phone (412) 466-4121

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

401 E Murphy Ave
Fl 2
Connellsville, PA 15425
Phone (724) 626-2200

3928 Washington Rd
Ste 270
McMurray, PA 15317
Phone (412) 429-8840

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

800 Plaza Dr
Ste 140
Rostraver Township, PA 15012
Phone (724) 379-5802

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1073824975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ATTN AFFILIATE BILLING PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 216",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021898",
            "telephone_number": "412-942-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Summit Ave # C70",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02906",
            "country_code": "US",
            "telephone_number": "401-793-2930",
            "fax_number": "401-793-2953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3928 Washington Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153172593",
            "country_code": "US",
            "telephone_number": "412-942-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CLARENCE",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD16311",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD467438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Drive",
            "address_2": "Suite 216",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.