Healthcare Provider Details

I. General information

NPI: 1730145475
Provider Name (Legal Business Name): FRANK P MCGROGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 05/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MOUNT PLEASANT RD
WEST NEWTON PA
15089-1839
US

IV. Provider business mailing address

155 MOUNT PLEASANT RD
WEST NEWTON PA
15089-1839
US

V. Phone/Fax

Practice location:
  • Phone: 724-872-8501
  • Fax: 724-872-6563
Mailing address:
  • Phone: 724-872-8501
  • Fax: 724-872-6563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD036520-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: