Active NPI
Marlene C Faus, PA-C
- Physician Assistant
- Elizabethtown, PA
National Provider Identifier
1043299282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA000328L
- Practice address
- 418 Cloverleaf Rd
Elizabethtown, PA 17022-9320 - Phone
- (717) 653-1467
- Fax
- (717) 653-1001
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA000328L | PA | Primary |
Addresses
Primary practice location
418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Mailing address
418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 653-1467
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1551917 | Other | PA | GATEWAY HEALTH PLAN |
| 50031745 | Other | PA | CAPITAL BLUE CROSS |
| R06196 | Other | PA | HEALTH ASSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Elizabethtown, PA
- NPI 1487621975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1043299282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CLOVERLEAF RD",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170229320",
"telephone_number": "717-653-1467",
"fax_number": "717-653-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 CLOVERLEAF RD",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170229320",
"telephone_number": "717-653-1467",
"fax_number": "717-653-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUS",
"first_name": "MARLENE",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA000328L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1551917",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50031745",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "R06196",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.