NPIMap

Organization Active NPI

St Clair Medical Services Inc

Doing business as St. Clair Medical Group Urology

  • Urology Physician
  • Pittsburgh, PA
National Provider Identifier
1437455771
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ST CLAIR MEDICAL SERVICES INC
Doing business as
St. Clair Medical Group Urology
Practice address
1145 Bower Hill Rd Ste 105
Pittsburgh, PA 15243-1346
Phone
(412) 579-6194
NPI assigned
Feb 3, 2011
Organization subpart
Yes
Parent organization
ST CLAIR HOSPITALAs reported in NPPES

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

Authorized official

Name
Pamalyn Patnesky
Title
Credentialing Specilist
Phone
(412) 942-2548

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X PA
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1145 Bower Hill Rd Ste 105
Pittsburgh, PA 15243-1346

Mailing address

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

Other practice location 1

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

Other practice location 2

3928 Washington Rd Ste 270
Mc Murray, PA 15317-2593
Phone (412) 942-4000

Other names 2

  • St. Clair Medical Group Urology Doing business as
  • Shoulder and Bordeau Urological Associates Former legal business name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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

2000 Oxford Dr
Ste 302
Bethel Park, PA 15102
Phone (412) 854-5491

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1437455771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ATTN PAMALYN PATNESKY",
            "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": "1145 BOWER HILL RD STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431346",
            "telephone_number": "412-579-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bower Hill Rd",
            "address_2": "AFFILIATE BILLING",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-2672",
            "fax_number": "412-942-2679",
            "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": "412-942-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST CLAIR MEDICAL SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CLAIR HOSPITAL",
        "enumeration_date": "2011-02-03",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "PATNESKY",
        "authorized_official_first_name": "PAMALYN",
        "authorized_official_title_or_position": "CREDENTIALING SPECILIST",
        "authorized_official_telephone_number": "412-942-2548"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1145 Bower Hill Rd Ste 105",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "3928 Washington Rd Ste 270",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1000 Bower Hill Rd",
            "address_2": "AFFILIATE BILLING",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Clair Medical Group Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shoulder and Bordeau Urological Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 2, 2021; 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.