SCMG - Urologic Services PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SCMG - UROLOGIC SERVICES PC

Practice address

651 Colliers Way Ste 509
Weirton, WV 26062-5054

Phone

(304) 723-4610

NPI assigned

Nov 11, 2021

Organization subpart

Yes

Parent organization

ST. CLAIR MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Pamalyn Patnesky

Title

Credentialing Specialist

Phone

(412) 942-2548

Specialties & licenses 4

Addresses

Other names 1

• SCMG - Urologic Services PC Doing business as

Electronic endpoints 2

Part of

Pathology St Clair Mem

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1730845009",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 509",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625054",
            "telephone_number": "304-723-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCMG - UROLOGIC SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CLAIR MEMORIAL HOSPITAL",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PATNESKY",
        "authorized_official_first_name": "PAMALYN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "412-942-2548"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission?2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "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": "651 Colliers Way Ste 509",
            "city": "Weirton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260625054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SCMG - Urologic Services PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saieed H Saieed, MD
• Sara Sanders, NP
• Joseph Edward Schreiber, DO
• Janet Lynn Schreiner
• John P Schultz, M.D.
• Allison Su Sellers, DPM
• Serra Retirement Center Inc
• Joann Marie Shaffer, PHARMD
• Jannae Sherensky, RN
• Atul Shetty, M.D.

• Urology Physician in Weirton, WV
• Providers in Weirton, WV by specialty
• Urology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.