Healthcare Provider Details

I. General information

NPI: 1306826771
Provider Name (Legal Business Name): SHANNON L MCFEATERS D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 LINCOLN AVENUE
PITTSBURGH PA
15202
US

IV. Provider business mailing address

180 LINCOLN AVENUE
PITTSBURGH PA
15202
US

V. Phone/Fax

Practice location:
  • Phone: 412-734-3200
  • Fax: 412-734-9238
Mailing address:
  • Phone: 412-734-3200
  • Fax: 412-734-9238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC004665L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: