MEDICARE: WEST PENN ALLEGHENY HEALTH SYSTEM, 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	213E00000X	Podiatrist

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	:	1902911456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST PENN ALLEGHENY HEALTH SYSTEM, INC.

Provider Business Mailing Address
First Line	:	2570 HAYMAKER RD OFC BLDG1
Second Line	:	SUITE 211
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-3513
Country	:	US
Telephone Number	:	412-858-7699
Fax Number	:	412-858-7696

Provider Business Practice Location Address
First Line	:	4955 STEUBENVILLE PIKE
Second Line	:	SUITE 180
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-9619
Country	:	US
Telephone Number	:	412-787-7005
Fax Number	:	412-787-7036

Authorized Official
Title or Position	:	DIRECTOR, PRACTICE MANAGEMENT
Name	:	JOHN MENDICINO
Credential	:
Telephone Number	:	412-858-7691

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	12/09/2008

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Directions to “WEST PENN ALLEGHENY HEALTH SYSTEM, INC. ” Practice Location

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