Provider Demographics
NPI:1124088836
Name:SCAGLIONE, PHILIP HERBERT (DO)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:HERBERT
Last Name:SCAGLIONE
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 1:310 MUNICIPAL RD
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-7609
Mailing Address - Country:US
Mailing Address - Phone:814-472-9199
Mailing Address - Fax:
Practice Address - Street 1:310 MUNICIPAL RD
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-7609
Practice Address - Country:US
Practice Address - Phone:814-472-9199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2197661207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H13782Medicare UPIN
037085Medicare ID - Type Unspecified