MEDICARE: ADAGIO HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	133NN1002X	Nutrition Education Nutritionist
3	133V00000X	Registered Dietitian
4	207V00000X	Obstetrics & Gynecology Physician
5	207VG0400X	Gynecology Physician
6	207VX0000X	Obstetrics Physician
7	261Q00000X	Clinic/Center
8	363L00000X	Nurse Practitioner
9	363LF0000X	Family Nurse Practitioner
10	363LW0102X	Women's Health Nurse Practitioner
11	363LX0001X	Obstetrics & Gynecology Nurse Practitioner
12	261QF0050X	Non-Surgical Family Planning Clinic/Center

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	:	1811088271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAGIO HEALTH INC.

Provider Business Mailing Address
First Line	:	960 PENN AVE
Second Line	:	SUITE 600
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-3818
Country	:	US
Telephone Number	:	412-288-2130
Fax Number	:	412-288-9036

Provider Business Practice Location Address
First Line	:	451 HYDE PARK RD
Second Line	:	HYDE PARK PLAZA
City	:	LEECHBURG
State	:	PA
Zip	:	15656-9417
Country	:	US
Telephone Number	:	724-845-1103
Fax Number	:	724-845-1106

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	BJ LEBER
Credential	:
Telephone Number	:	412-288-2130

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	05/27/2015

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Directions to “ADAGIO HEALTH INC. ” Practice Location

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