Basic Information
| Provider Information | |||||||||
| NPI: | 1306198551 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCOTT MEDICAL HEALTH CENTER, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2275 SWALLOW HILL ROAD | ||||||||
| Address2: | BUILDING 2600 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152201656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122794522 | ||||||||
| FaxNumber: | 4122793828 | ||||||||
| Practice Location | |||||||||
| Address1: | 2630 BRANDT SCHOOL ROAD | ||||||||
| Address2: | |||||||||
| City: | WEXFORD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249354300 | ||||||||
| FaxNumber: | 7249354321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2012 | ||||||||
| LastUpdateDate: | 11/17/2016 | ||||||||
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| AuthorizedOfficialLastName: | SCHUCHMAN | ||||||||
| AuthorizedOfficialFirstName: | CINDY | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO/INSURANCE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4122793398 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD02616L | PA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.