NPIMap

Organization Active NPI

St. Clair Medical Services, Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1407196165
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST. CLAIR MEDICAL SERVICES, INC.
Practice address
1626 Potomac Ave
Pittsburgh, PA 15216-1947
Phone
(412) 531-7020
Fax
(412) 531-2260
NPI assigned
Feb 18, 2013
Organization subpart
Yes
Parent organization
ST. CLAIR HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1626 Potomac Ave
Pittsburgh, PA 15216-1947

Mailing address

1000 Bower Hill Rd
Affiliate Billing
Pittsburgh, PA 15243-1873
Phone (412) 942-2533

Other names 1

  • John E. Love Family Practice 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
St Clair Medical SVCS Inc24 organizations share this tax ID, including this one
Part of
Pathology St Clair Mem

Other organizations with this tax ID 23

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

View all 23

Locations

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

1626 Potomac Ave
Pittsburgh, PA 15216
Phone (412) 531-7020

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 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1407196165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "AFFILIATE BILLING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2533",
            "fax_number": "412-942-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 POTOMAC AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161947",
            "telephone_number": "412-531-7020",
            "fax_number": "412-531-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CLAIR HOSPITAL",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John E. Love Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.