Organization Active NPI

Fayette Lung and Sleep Center, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Uniontown, PA
National Provider Identifier
1245336072
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
FAYETTE LUNG AND SLEEP CENTER, PC
Practice address
205 Easy St
Professional Plaza I, Suite 108
Uniontown, PA 15401-3128
Phone
(724) 439-1800
Fax
(724) 439-0799
NPI assigned
Sep 16, 2006
Last updated
Apr 20, 2008By the provider in NPPES
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. Pierre K. Edde, M.D.NPI 1821068206
Title
Owner
Phone
(723) 439-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

205 Easy St
Professional Plaza I, Suite 108
Uniontown, PA 15401-3128

Mailing address

205 Easy St
Professional Plaza I, Suite 108
Uniontown, PA 15401-3128
Phone (724) 439-1800

Other identifiers 3

IdentifierTypeStateIssuer
1012512500001MedicaidPA
E001OtherPAGATEWAY
V0855BOtherPAUPMC

National Provider Directory

National Provider Directory

Locations

205 Easy St
Ste 108
Uniontown, PA 15401
Phone (724) 438-3300

Practitioners & affiliated clinicians

Practitioners 2

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245336072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EASY ST",
            "address_2": "PROFESSIONAL PLAZA I, SUITE 108",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013128",
            "telephone_number": "724-439-1800",
            "fax_number": "724-439-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EASY ST",
            "address_2": "PROFESSIONAL PLAZA I, SUITE 108",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013128",
            "telephone_number": "724-439-1800",
            "fax_number": "724-439-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE LUNG AND SLEEP CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EDDE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "723-439-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012512500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "E001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "V0855B",
            "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 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.