Organization Active NPI

Greene County Family Practice, PC

  • Family Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1104855337
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD068043L Issued in PA
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0177896460001MedicaidPA
1508380OtherPAGATEWAY
094575OtherPAAETNA
781907OtherPABCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.