Provider Demographics
NPI:1316070253
Name:ANN B MCCUNE, MD
Entity type:Organization
Organization Name:ANN B MCCUNE, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCCUNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-942-0610
Mailing Address - Street 1:2001 WATERDAM PLAZA DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5416
Mailing Address - Country:US
Mailing Address - Phone:724-942-0610
Mailing Address - Fax:724-942-3056
Practice Address - Street 1:2001 WATERDAM PLAZA DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5416
Practice Address - Country:US
Practice Address - Phone:724-942-0610
Practice Address - Fax:724-942-3056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039817E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA087730Medicare ID - Type Unspecified