Pendergast, Scott D.

Pendergast, Scott D. is an individual health care provider with primary practice located at 24075 Commerce Park , Beachwood OH 44122-5846. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Pendergast, Scott D. can be contacted via phone (216) 831-5700.

Contact Information

Primary practice address
24075 Commerce Park Beachwood OH 44122-5846
Phone: (216) 831-5700
Fax: (216) 831-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-07-2687-P Ohio
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35-072687 Ohio

Profile Details

NPI number 1386638682
LBN Legal business name Pendergast, Scott D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jun 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386638682 NPPES
Ohio MEDICAID 2021869
Ohio Other 35-07-2687-P

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