Provider Demographics
NPI:1578562963
Name:MCMONAGLE & MURELLO, P.C.
Entity Type:Organization
Organization Name:MCMONAGLE & MURELLO, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-439-8100
Mailing Address - Street 1:650 CHERRY TREE LN
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8947
Mailing Address - Country:US
Mailing Address - Phone:724-439-8100
Mailing Address - Fax:724-439-6217
Practice Address - Street 1:650 CHERRY TREE LN
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8947
Practice Address - Country:US
Practice Address - Phone:724-439-8100
Practice Address - Fax:724-439-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016826-E207R00000X
PAMD021582-E207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA453522OtherBLUE SHIELD/KEYSTONE
PA3959OtherMT. STATE BLUE SHIELD
PACB5080OtherTRAVELERS MEDICARE
PA001108420Medicaid
PA=========OtherUPMC
PA=========OtherGATEWAY
PA=========OtherUMWA
PA=========OtherADVANTRA
PA=========OtherHEALTH AMERICA/ASSURANCE
PA001108420Medicaid