Provider Demographics
NPI:1467451260
Name:MCMONAGLE, CAREY LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAREY
Middle Name:LEE
Last Name:MCMONAGLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:202 JACOB MURPHY LN
Practice Address - Street 2:SUITE 201
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2686
Practice Address - Country:US
Practice Address - Phone:724-912-0035
Practice Address - Fax:724-912-0036
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016826-E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA214422OtherUPMC
PA4304177OtherAETNA
PA155000OtherBLUE SHIELD/KEYSTONE
WV2926OtherMT. STATE BLUE SHIELD
PA1027817OtherGATEWAY
PA732942Medicaid
PAB40110OtherHEALTH AMERICA/ASSUSRANCE
PAB40110OtherADVANTRA
PAB40110OtherHEALTH AMERICA/ASSUSRANCE
PA214422OtherUPMC