MEDICARE: JOHN L HAPPEL MD INC

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	2086S0129X	Vascular Surgery Physician	22309	WV
2	2086S0129X	Vascular Surgery Physician	MD024519E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407870892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN L HAPPEL MD INC

Provider Business Mailing Address
First Line	:	3035 WASHINGTON RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3281
Country	:	US
Telephone Number	:	724-969-0600
Fax Number	:	724-969-0320

Provider Business Practice Location Address
First Line	:	3035 WASHINGTON RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3281
Country	:	US
Telephone Number	:	724-969-0600
Fax Number	:	724-969-0320

Authorized Official
Title or Position	:	PRES
Name	:	DR. JOHN L HAPPEL JR.
Credential	:	MD
Telephone Number	:	724-969-0600

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

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