MEDICARE: ALLEGHENY MEDICAL PRACTICE NETWORK

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	207R00000X	Internal Medicine Physician

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	:	1528032125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY MEDICAL PRACTICE NETWORK

Provider Business Mailing Address
First Line	:	1719 UNION AVE
Second Line	:	SUITE A
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2104
Country	:	US
Telephone Number	:	724-226-2128
Fax Number	:	724-226-2498

Provider Business Practice Location Address
First Line	:	1719 UNION AVE
Second Line	:	SUITE A
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2104
Country	:	US
Telephone Number	:	724-226-2128
Fax Number	:	724-226-2498

Authorized Official
Title or Position	:	MANAGED CARE SPECIALIST
Name	:	CINDY WALTEMIRE
Credential	:
Telephone Number	:	412-330-5523

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	11/08/2007

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Practice Location Address:

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1104896059 — DR. CATHERINE L EAGON MD
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1255304002 — NEDRA HAZLETT CRNP
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1709 UNION AVE
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Practice Location Address:

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Practice Fax:

Directions to “ALLEGHENY MEDICAL PRACTICE NETWORK ” Practice Location

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