Internal Medicine Associates of Connellsville

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOCIATES OF CONNELLSVILLE

Practice address

261 E Crawford Ave
Connellsville, PA 15425-3635

Phone

(724) 628-4600

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mouhanad K Al-Fakih, MDNPI 1013914605

Title

Physician/Owner

Phone

(724) 628-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mouhanad Al-Fakih, MD

  • Internal Medicine Physician
  • Connellsville, PA
  • NPI 1013914605
  Medicare reassignment Care Compare group NPD Authorized official
• Kristen Rochelle Huth, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Connellsville, PA
  • NPI 1316772171

  Internal Medicine

  Medicare reassignment NPD
• Aster Assefa, M.D.

  • Family Medicine Physician
  • Mt Pleasant, PA
  • NPI 1912012295
  Care Compare group

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1144691981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 E CRAWFORD AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253635",
            "telephone_number": "724-628-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E CRAWFORD AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253635",
            "telephone_number": "724-628-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF CONNELLSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "AL-FAKIH",
        "authorized_official_first_name": "MOUHANAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "724-628-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Hunter
• James Raymond Hurley, DC
• Shannon Michelle Hurley, RDN
• Kristen Rochelle Huth, NURSE PRACTITIONER
• Illinois Valley Radiology, SC
• Purushothama Iyengar, M.D.
• James Miller Oppy MD
• Charles M Jesko, DC
• Jody L Rumbaugh Chiropractic & Wellness
• John E Ellis

• Internal Medicine Physician in Connellsville, PA
• Providers in Connellsville, 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 Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.