Basic Information
Provider Information
NPI: 1750374153
EntityType: 2
ReplacementNPI:  
OrganizationName: SCOTT MEDICAL HEALTH CENTER, PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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: 2275 SWALLOW HILL ROAD
Address2: BUILDING 2600
City: PITTSBURGH
State: PA
PostalCode: 152201656
CountryCode: US
TelephoneNumber: 4122794522
FaxNumber: 4122793828
Other Information
ProviderEnumerationDate: 08/31/2005
LastUpdateDate: 11/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SCHUCHMAN
AuthorizedOfficialFirstName: CINDY
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: CFO/INSURANCE MANAGER
AuthorizedOfficialTelephone: 4123385845
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


Home