Provider Demographics
NPI:1629196571
Name:APPLEGATE, DAVID J (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:APPLEGATE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 FREEPORT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-2905
Mailing Address - Country:US
Mailing Address - Phone:412-784-1678
Mailing Address - Fax:412-784-1722
Practice Address - Street 1:15 FREEPORT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-2905
Practice Address - Country:US
Practice Address - Phone:412-784-1678
Practice Address - Fax:412-784-1722
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2009-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005462L2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA091145YJSMedicare UPIN
PA125308YJOMedicare PIN
PA091145YJOMedicare UPIN
PA125184YJSMedicare PIN