Northern Communities Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD053373L Issued in PA

Legal business name

NORTHERN COMMUNITIES MEDICAL ASSOCIATES

Practice address

217 E Main St
Evans City, PA 16033-1219

Phone

(724) 538-9700

Fax

(724) 538-9710

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Elliot L Smith, M.D.

Title

President

Phone

(724) 538-9700

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093757536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331219",
            "telephone_number": "724-538-9700",
            "fax_number": "724-538-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331219",
            "telephone_number": "724-538-9700",
            "fax_number": "724-538-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COMMUNITIES MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-538-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053373L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH PLANS",
            "identifier": "254126",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013525480001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1636234",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETT",
            "identifier": "DD5102",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Hubert, DPT
• Nancie G Jaicks, RN, BSN
• Joseph Raymond Mayer, RPH
• Mary Ann McCoppin, SLP-CCC
• Faithann Marian Mustovic, R.PH.
• Heather Ann Pence, PHARMD
• Personal Touch Physical Therapy, LLC
• Kelley Jean Pierce, COTA/L
• Quality Recovery, LLC
• Lindsey Repine, MS, RD, LDN

• Internal Medicine Physician in Evans City, PA
• Providers in Evans City, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.