MEDICARE: CHRISTOPHER J. NAGLE, D.P.M., P.C.

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	SC004060R	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1992079503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER J. NAGLE, D.P.M., P.C.

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	:	PRESIDENT
Name	:	DR. CHRISTOPHER JOHN NAGLE
Credential	:	D.P.M.
Telephone Number	:	724-981-6541

Provider Enumeration Date	:	02/28/2012
Last Update Date	:	04/18/2012

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