MEDICARE: MRS. ISABEL R AURE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	037847-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101907	OTHER		UPMC
2	436084	OTHER		HIGHMARK

General Provider Information

NPI Number	:	1043214000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ISABEL R AURE MD

Provider Business Mailing Address
First Line	:	4304 WALNUT ST
Second Line	:	STE 9
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-6029
Country	:	US
Telephone Number	:	412-751-4330
Fax Number	:	412-751-4331

Provider Business Practice Location Address
First Line	:	4304 WALNUT ST
Second Line	:	STE 9
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-6029
Country	:	US
Telephone Number	:	412-751-4330
Fax Number	:	412-751-4331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	07/08/2007

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