Fred K Fioravanti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD025211E Issued in PA

Practice address

112 Marwood Rd
#5000
Cabot, PA 16023-2239

Phone

(724) 352-4448

Fax

(724) 352-4412

NPI assigned

Sep 27, 2005

Last updated

Apr 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Nicolette C Walsh, MD

  • Family Medicine Physician
  • Erie, PA
  • NPI 1760416275
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fred K. Fioravanti

  • Specialist
  • Saxonburg, PA
  • NPI 1437273851
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461369600000",
    "number": "1285620906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MARWOOD RD",
            "address_2": "#5000",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232239",
            "telephone_number": "724-352-4448",
            "fax_number": "724-352-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARWOOD RD",
            "address_2": "#5000",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232239",
            "telephone_number": "724-352-4448",
            "fax_number": "724-352-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORAVANTI",
        "first_name": "FRED",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025211E",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD025211E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concordia Telecaregivers Dba Concordia Private Care
• Concordia Visiting Nurses
• Craig Taylor, MD PC
• Cara Degrano, OTD, OTR/L
• Alexander Deyoung, D.D.S.
• Carolyn N Gordon, PTA
• Sarah Greene Mikoloski, MS
• Kristen Mari Haugh, LPC
• Madison Holben
• Morgan Ann Kidder, MSCCC-SLP

• Family Medicine Physician in Cabot, PA
• Providers in Cabot, 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 Apr 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.