Marcie Beth Fyock, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003067 Issued in PA

Practice address

840 Wood St
Clarion, PA 16214-1240

Phone

(814) 393-2006

Fax

(814) 393-1735

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19587/brand/1/csg/1/fhir/r4

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.

• Keeling Health Center

  • Student Health Clinic/Center
  • Clarion, PA
  • NPI 1962602318
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083749550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E 8TH AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141601",
            "telephone_number": "814-393-2006",
            "fax_number": "814-393-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141240",
            "telephone_number": "814-393-2006",
            "fax_number": "814-393-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYOCK",
        "first_name": "MARCIE",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Fillman
• David Lee Forsythe, RN,FP-C
• Thomas Francis Freenock Jr., M.D.
• Derek Fritz
• Carly Marie Fusilli, LPC
• Serena Marie Ganoe
• Vincent Patrick Ganoe, L. AC.
• Amanda N Geibel, MA, LPC
• Ggnsc Clarion LP
• Mahreen Nizarali Gilani

• Athletic Trainer in Clarion, PA
• Providers in Clarion, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.