Family Medicine of Warren, PA,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE OF WARREN, PA,PC

Practice address

143 Pleasant Dr
Warren, PA 16365-3371

Phone

(814) 726-3310

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Pat A Bengston

Title

Manager

Phone

(814) 726-3310

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Joshua David Crider, PA

  • Physician Assistant
  • Warren, PA
  • NPI 1750615654
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1255387015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-726-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF WARREN, PA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BENGSTON",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-726-3310"
    },
    "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": "001181789",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay E Endres, MD
• Erie Vamc
• Sheila Jennie Errett, PHARMD, RPH
• Experience, Inc.
• Eye Care Professional Associates
• Family Physical Therapy
• Family Services of Warren County, Inc.
• Michael Wellington Faulk, MD
• Marjorie Fincher, RPAC
• Christopher Finke

• Family Medicine Physician in Warren, PA
• Providers in Warren, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.