MEDICARE: DR. CHRISTOPHER JOHN NAGLE D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	SC004060R	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	058200	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427069046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JOHN NAGLE D.P.M.

Provider Business Mailing Address
First Line	:	1951 SHENANGO VALLEY FWY
Second Line	:	SUITE 3 NORTH
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2522
Country	:	US
Telephone Number	:	724-981-6541
Fax Number	:	724-982-0533

Provider Business Practice Location Address
First Line	:	1951 SHENANGO VALLEY FWY
Second Line	:	SUITE 3 NORTH
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2522
Country	:	US
Telephone Number	:	724-981-6541
Fax Number	:	724-982-0533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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