Fred K Fioravanti, MD
Individual provider Active NPI Family Medicine Physician · Cabot, PA
NPI 1285620906 · NPPES record last updated Apr 23, 2016
Key facts
- NPI
- 1285620906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD025211E (PA)
- Practice address
- 112 Marwood Rd
#5000
Cabot, PA 16023-2239 - Phone
- (724) 352-4448
- Fax
- (724) 352-4412
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071214000086 | PA | Practitioner - Family Practice |
1153411160 |
Receives reassigned benefits from 1 practitioner Practice locations: Cabot, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred K. Fioravanti | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD025211E | PA | Yes |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD025211E | PA |
Addresses
Primary practice location
112 Marwood Rd
#5000
Cabot, PA 16023-2239
Mailing address
112 Marwood Rd
#5000
Cabot, PA 16023-2239
Phone (724) 352-4448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00100247003 | Medicaid | PA |
Other providers in Cabot, PA
- Concordia Telecaregivers Dba Concordia Private Care
- Concordia Visiting Nurses
- Craig Taylor, MD PC
- Cara Degrano
- Alexander Deyoung
- Carolyn N Gordon
- Sarah Greene Mikoloski
- Kristen Mari Haugh
- Madison Holben
- Morgan Ann Kidder
All providers in Cabot, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.