Individual provider Active NPI

Daniel Alan Church, M.D.

  • Pediatrics Physician
  • Waynesburg, PA
National Provider Identifier
1013979657
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD072957L Issued in PA
Practice address
246 Elm Dr
Waynesburg, PA 15370-8269
Phone
(724) 627-0926
Fax
(724) 627-0812
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD072957L PA Primary

Addresses

Primary practice location

246 Elm Dr
Waynesburg, PA 15370-8269

Mailing address

7 Glassworks Rd
Greensboro, PA 15338-9507
Phone (724) 943-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000087 PA Practitioner - Pediatric Medicine 1557313954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc Pediatrics CurrentSince Feb 10, 2022 Accepting new patients
Fayette Physician Network Inc CurrentSince Feb 10, 2022 Accepting new patients
Central Greene Pediatrics, PC Pediatrics Past Accepting new patients
Fayette Physician Network Inc Past Accepting new patients

Locations

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

451 Murtha Dr
Waynesburg, PA 15370
Phone (304) 598-4253

Interoperability endpoints

  • Direct secure messaging: dchurch324710@direct.wvuhsdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1013979657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ELM DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708269",
            "telephone_number": "724-627-0926",
            "fax_number": "724-627-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD072957L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.