Scac LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16591501 Issued in PA

Legal business name

SCAC LLC

Practice address

105 Brandt Drive
Suite 101
Cranberry TWP, PA 16066

Phone

(724) 772-1766

Fax

(724) 772-5947

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

William Clark Christie, MD

Title

Owner/Physician

Phone

(724) 772-1766

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Surgery Center at Cranberry Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

The Surgery Center at CranberryCCN 39C0001153

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1902876212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRANDT DRIVE",
            "address_2": "SUITE 101",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-772-1766",
            "fax_number": "724-772-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRANDT DRIVE",
            "address_2": "SUITE 101",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-772-1766",
            "fax_number": "724-772-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "724-772-1766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "16591501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7571524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7222631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUECROSS BS",
            "identifier": "2088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3449654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100887180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00073763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "275001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "153357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at Cranberry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center at Cranberry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willam Bradford Rogers
• Susan Rolniak St. John, CRNP
• Andrew Rupp, DC
• Angela J Santis, PHARM.D.
• Emily Mariah Savage, DC
• Susan Schilinski, DNP
• Meredith Schlichtkrull
• Nicole Lee Schoch, M.ED. BCBA , LBS
• Karen Lee Schogel, M.D.
• Madison Schultz

• Ambulatory Surgical Clinic/Center in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.