Provider Demographics
NPI:1194049197
Name:PLEVELICH, NATALIE JO (DO)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:JO
Last Name:PLEVELICH
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Gender:F
Credentials:DO
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Mailing Address - Street 1:520 JEFFERSON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2538
Mailing Address - Country:US
Mailing Address - Phone:724-527-8060
Mailing Address - Fax:724-522-4002
Practice Address - Street 1:870 WEATHERWOOD LN
Practice Address - Street 2:SUITE1
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5899
Practice Address - Country:US
Practice Address - Phone:724-850-3150
Practice Address - Fax:724-850-3151
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2017-01-31
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Provider Licenses
StateLicense IDTaxonomies
PAOS017107207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102927883Medicaid
PA102927883Medicaid