NPIMap

Individual provider Active NPI

Robert J Fadden, M.D.

  • Gastroenterology Physician
  • Beaver Falls, PA
National Provider Identifier
1093761801
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD033687E Issued in PA
Practice address
100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone
(724) 891-2100
Fax
(724) 891-2734
NPI assigned
May 25, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD033687E PA Primary

Addresses

Primary practice location

100 Knowlson Ave
Beaver Falls, PA 15010-1634

Mailing address

100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone (724) 891-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000388 PA Practitioner - Gastroenterology 2163484379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Gastroenterology Associates PCGroup PAC ID 4688646235, 25 clinicians

Practice addresses (Care Compare)

100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone 72489121005311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033687EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Gastroenterology Associates PC Gastroenterology CurrentSince Dec 1, 1986 Accepting new patients
Four Seasons Endoscopy Center Inc CurrentSince Mar 26, 2011 Accepting new patients

Locations

48462 Bell School Rd
East Liverpool, OH 43920
Phone (330) 385-1770

100 Knowlson Ave
Beaver Falls, PA 15010
Phone (724) 891-2100

2602 Wilmington Rd
Ste 202
New Castle, PA 16105

2602 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-5505

Interoperability endpoints

  • Direct secure messaging: robertfadden@vga.allscriptsdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1093761801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADDEN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD033687E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.