NPIMap

Organization Active NPI

St. Clair Medical Services, Inc.

Doing business as Johnston Internal Medicine

  • Internal Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1386992592
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. CLAIR MEDICAL SERVICES, INC.
Doing business as
Johnston Internal Medicine
Practice address
2000 Oxford Dr
Suite 115
Bethel Park, PA 15102-1827
Phone
(412) 471-3061
Fax
(412) 471-6621
NPI assigned
Aug 17, 2012
Last updated
Aug 17, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CLAIR HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Richard C. Chesnos
Title
Sr VP & Cfo
Phone
(412) 942-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2000 Oxford Dr
Suite 115
Bethel Park, PA 15102-1827

Mailing address

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2672

Other names 1

  • Johnston Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000889 PA Part B Supplier - Clinic/Group Practice 4183511553 Receives reassigned benefits from 394 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA; Washington, PA; Bethel Park, PA; Bridgeville, PA; McKees Rocks, PA; McMurray, PA

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth Eelkena MD24 organizations share this tax ID, including this one
Part of
St Clair Hospital

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

27 Heckel Rd
Ste 212
Mc Kees Rocks, PA 15136
Phone (412) 777-4319

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1386992592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2672",
            "fax_number": "412-942-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 115",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-471-3061",
            "fax_number": "412-471-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CLAIR HOSPITAL",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "CHESNOS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SR VP & CFO",
        "authorized_official_telephone_number": "412-942-1250"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.