Healthcare Provider Details

I. General information

NPI: 1427053602
Provider Name (Legal Business Name): KATHLEEN F CATALANO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 WELDON ST
LATROBE PA
15650-1848
US

IV. Provider business mailing address

3 ALTA VITA DR APT 403
GREENSBURG PA
15601-9719
US

V. Phone/Fax

Practice location:
  • Phone: 724-539-3535
  • Fax: 724-532-0610
Mailing address:
  • Phone: 724-832-8493
  • Fax: 724-532-0610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD029210L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier4207033
Identifier TypeOTHER
Identifier StatePW
Identifier IssuerAETNA MANAGED CHOICE
# 2
IdentifierP001385
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGATEWAY HEALTH PLAN
# 3
Identifier0006200980007
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 4
Identifier203768
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC FOR YOU
# 5
Identifier123291
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK
# 6
Identifier163818
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerTHREE RIVERS MEDPLUS
# 7
Identifier471676
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA HMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: