Provider Demographics
NPI:1073613907
Name:LEONE, SCOTT (DO)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:LEONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 CORPORATE DR
Mailing Address - Street 2:SUITE 265
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5861
Mailing Address - Country:US
Mailing Address - Phone:412-369-5900
Mailing Address - Fax:412-369-5905
Practice Address - Street 1:5700 CORPORATE DR
Practice Address - Street 2:SUITE 265
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5861
Practice Address - Country:US
Practice Address - Phone:412-369-5900
Practice Address - Fax:412-369-5905
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006326L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA17041920004Medicaid
PA208907OtherUPMC
PA435131OtherBLUE SHIELD
PA196293OtherUNISON
PAP00376882OtherRR MCR
PAP001551OtherGATEWAY
PA1146541OtherFIRST HEALTH/COVENTRY
PAP00376882OtherRR MCR
PA435131V38Medicare PIN