Main Street Medical Associates P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD017110E Issued in PA

Legal business name

MAIN STREET MEDICAL ASSOCIATES P C

Practice address

525 W Main St
Mt Pleasant, PA 15666-1833

Phone

(724) 547-4536

Fax

(724) 547-3799

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Richard Eugene Lynn, MD

Title

President

Phone

(724) 547-4536

Specialties & licenses 7

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.

• Thomas Nick Kaminski, MD

  • Internal Medicine Physician
  • Mt Pleasant, PA
  • NPI 1235153305
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1285655381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661833",
            "telephone_number": "724-547-4536",
            "fax_number": "724-547-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661833",
            "telephone_number": "724-547-4536",
            "fax_number": "724-547-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-547-4536",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012524",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD434385",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD017110E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037152L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD030863E",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051424",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655146",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana O Lucas, DDS
• Jeana M Luther
• Richard E. Lynn, MD
• M. Munir Zaitoon, M.D., F.a.C.S.
• Rajni Madaan, MD
• Mamdouh F El-Attrache MD
• Kristin Marcoz, RPH
• Nicole Marie Markiewicz, ATC, CSS
• Mary A. Martin, O.T.
• Joseph Marzano

• Internal Medicine Physician in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.