NPIMap

Organization Active NPI

Western Pennsylvania Family Medicine Associates, LTD.

  • Family Medicine Physician
  • Jeannette, PA
National Provider Identifier
1376657635
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038763L Issued in PA
Legal business name
WESTERN PENNSYLVANIA FAMILY MEDICINE ASSOCIATES, LTD.
Practice address
2057 Harrison Ave
Jeannette, PA 15644-1168
Phone
(724) 527-5001
Fax
(724) 527-0990
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Kevin Michael Wong, MDNPI 1437177193
Title
President
Phone
(724) 527-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD038763L PA Primary

Addresses

Primary practice location

2057 Harrison Ave
Jeannette, PA 15644-1168

Mailing address

2057 Harrison Ave
Jeannette, PA 15644-1168
Phone (724) 527-5001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1376657635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 HARRISON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156441168",
            "telephone_number": "724-527-5001",
            "fax_number": "724-527-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 HARRISON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156441168",
            "telephone_number": "724-527-5001",
            "fax_number": "724-527-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA FAMILY MEDICINE ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-527-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038763L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.