NPIMap

Organization Active NPI

Fairway Medical Associates PC

  • Family Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1164460135
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAIRWAY MEDICAL ASSOCIATES PC
Practice address
144 S 8TH St
Suite 111
Chambersburg, PA 17201-2767
Phone
(717) 264-6511
Fax
(717) 264-1081
NPI assigned
Jun 3, 2006
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Dr. Samuel Q Bricker, MDNPI 1144227620
Title
Physician
Phone
(717) 264-6511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

144 S 8TH St
Suite 111
Chambersburg, PA 17201-2767

Mailing address

144 S 8TH St
Suite 111
Chambersburg, PA 17201-2755
Phone (717) 264-6511

Other identifiers 1

IdentifierTypeStateIssuer
0009928520001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1164460135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 8TH ST",
            "address_2": "SUITE 111",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012755",
            "telephone_number": "717-264-6511",
            "fax_number": "717-264-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S 8TH ST",
            "address_2": "SUITE 111",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012767",
            "telephone_number": "717-264-6511",
            "fax_number": "717-264-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-264-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009928520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.