Tamer Mohamed Fathy, MD
Individual provider Active NPI Family Medicine Physician · Berwick, PA
NPI 1346440146 · NPPES record last updated Apr 15, 2022
Key facts
- NPI
- 1346440146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- FF0382185 (PA)
- Practice address
- 2200 W Front St
Berwick, PA 18603-4106 - Phone
- (570) 759-1228
- Fax
- (570) 759-2017
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, 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 |
|---|---|---|---|---|
| I20101015001201 | CA | Practitioner - Family Practice | 9335332840 | Reassigns benefits to 1 organization |
| I20211019000944 | PA | Practitioner - Family Practice | 9335332840 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Family Medicine | Current |
Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current |
Accepting new patients |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Medical Center | Past | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Family Medicine | Past | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Family Medicine | Past | Accepting new patients |
| Orange Coast Memorial Medical Center | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137
8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911
9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229
19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225
2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757
500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661
3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658
1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069
13152 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864
2200 W Front St
Berwick, PA 18603
Phone (570) 759-1228
2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
100 N Academy Ave
Danville, PA 17822
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FF0382185 | PA | Yes |
Addresses
Primary practice location
2200 W Front St
Berwick, PA 18603-4106
Mailing address
123 17TH Street
Mail Stop 316
Reno, NV 89557-0001
Phone (775) 784-6180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039402260001 | Medicaid | PA | |
| FA1V5458 | Other | PA | MEDICARE |
Other providers in Berwick, PA
- Susan D Ermish
- Keith L Evans Jr.
- Tracy Marie Eveland
- Excursion Counseling
- Eye Care Specialists, P.C.
- Amanda Knox Fierro
- Jennifer Lynn Fisher
- Nathaniel W Flook
- William Ray Flook
- Kenneth R Foster Jr.
All providers in Berwick, 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 15, 2022. 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.