# SCMG - UROLOGIC SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. CLAIR MEMORIAL HOSPITAL
- **Other names:** SCMG - Urologic Services PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730845009
- **Legal business name:** ST. CLAIR MEMORIAL HOSPITAL
- **Authorized official:** PAMALYN PATNESKY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (412) 942-2548

## Contact information

- **Practice address:** 651 COLLIERS WAY STE 509, WEIRTON, WV 26062-5054
- **Practice address phone:** (304) 723-4610
- **Mailing address:** 1000 BOWER HILL RD, PITTSBURGH, PA 15243-1873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/11/2021
- **Last updated:** 11/11/2021