Organization Active NPI

Christopher J. Nagle, D.P.M., P.C.

  • Podiatrist
  • Hermitage, PA
National Provider Identifier
1992079503
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004060R Issued in PA
Legal business name
CHRISTOPHER J. NAGLE, D.P.M., P.C.
Practice address
1951 Shenango Valley Fwy
Suite 3 North
Hermitage, PA 16148-2522
Phone
(724) 981-6541
Fax
(724) 982-0533
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher John Nagle, D.P.M.NPI 1427069046
Title
President
Phone
(724) 981-6541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC004060R PA Primary

Addresses

Primary practice location

1951 Shenango Valley Fwy
Suite 3 North
Hermitage, PA 16148-2522

Mailing address

1951 Shenango Valley Fwy
Suite 3 North
Hermitage, PA 16148-2522
Phone (724) 981-6541

Other identifiers 2

IdentifierTypeStateIssuer
058200OtherHIGHMARK BLUE SHIELD
1496367MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000778 PA Part B Supplier - Clinic/Group Practice 6608033741 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

1951 Shenango Valley Fwy
Ste 3N
Hermitage, PA 16148
Phone (724) 981-6541

1951 Shenango Valley Fwy
#3
Hermitage, PA 16148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1992079503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SHENANGO VALLEY FWY",
            "address_2": "SUITE 3 NORTH",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482522",
            "telephone_number": "724-981-6541",
            "fax_number": "724-982-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SHENANGO VALLEY FWY",
            "address_2": "SUITE 3 NORTH",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482522",
            "telephone_number": "724-981-6541",
            "fax_number": "724-982-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J. NAGLE, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-981-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004060R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "058200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496367",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.