Organization Active NPI

Fayette Cardiology Inc

  • Cardiovascular Disease Physician
  • Uniontown, PA
National Provider Identifier
1114974755
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD055999L Issued in PA
Legal business name
FAYETTE CARDIOLOGY INC
Practice address
97 Delaware Ave
Suite 100
Uniontown, PA 15401-3137
Phone
(724) 434-1808
Fax
(724) 434-1807
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Veerunna Chowdary Yadagani, MD
Title
Ceo
Phone
(724) 434-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD055999L PA Primary

Addresses

Primary practice location

97 Delaware Ave
Suite 100
Uniontown, PA 15401-3137

Mailing address

PO Box 910
Uniontown, PA 15401-0910
Phone (724) 434-1808

Other identifiers 3

IdentifierTypeStateIssuer
0017114280010MedicaidPA
200732OtherPAUPMC
83050OtherPAMED () UNISON

National Provider Directory

National Provider Directory

Locations

97 Delaware Ave
Ste 100
Uniontown, PA 15401
Phone (724) 434-1808

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114974755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154010910",
            "telephone_number": "724-434-1808",
            "fax_number": "724-434-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DELAWARE AVE",
            "address_2": "SUITE 100",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013137",
            "telephone_number": "724-434-1808",
            "fax_number": "724-434-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YADAGANI",
        "authorized_official_first_name": "VEERUNNA",
        "authorized_official_middle_name": "CHOWDARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-434-1808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD055999L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017114280010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "200732",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED ()  UNISON",
            "identifier": "83050",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.