Active NPI
Greene County Family Practice, PC
- Family Medicine Physician
- Waynesburg, PA
National Provider Identifier
1104855337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD068043L
- Legal business name
- GREENE COUNTY FAMILY PRACTICE, PC
- Practice address
- 430 E Oakview Dr
Suite a
Waynesburg, PA 15370-9729 - Phone
- (724) 627-8582
- Fax
- (724) 627-7756
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy R Negrey, MD
- Title
- President
- Phone
- (724) 627-8582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD068043L | PA | Primary |
Addresses
Primary practice location
430 E Oakview Dr
Suite a
Waynesburg, PA 15370-9729
Mailing address
430 E Oakview Dr
Suite a
Waynesburg, PA 15370-9729
Phone (724) 627-8582
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177896460001 | Medicaid | PA | |
| 1508380 | Other | PA | GATEWAY |
| 094575 | Other | PA | AETNA |
| 781907 | Other | PA | BCBS |
National Provider Directory
National Provider DirectoryLocations
430 E Oakview Dr
Ste A
Waynesburg, PA 15370
Phone (724) 627-8582
430 E Oakview Dr
Waynesburg, PA 15370
Phone (724) 627-8582
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Waynesburg, PA
- NPI 1598769465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1104855337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E OAKVIEW DR",
"address_2": "SUITE A",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153709729",
"telephone_number": "724-627-8582",
"fax_number": "724-627-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E OAKVIEW DR",
"address_2": "SUITE A",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153709729",
"telephone_number": "724-627-8582",
"fax_number": "724-627-7756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENE COUNTY FAMILY PRACTICE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "NEGREY",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-627-8582",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD068043L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0177896460001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1508380",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "094575",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "781907",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.