Healthcare Provider Details

I. General information

NPI: 1124914486
Provider Name (Legal Business Name): CORREGGIO LADON PEAGLER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 FIFTH AVE KAUFMANN MEDICAL BLDG SUITE 1010
PITTSBURGH PA
15213
US

IV. Provider business mailing address

3600 FORBES AVE FORBES TOWER-PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213-3410
US

V. Phone/Fax

Practice location:
  • Phone: 412-605-3277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: