Organization Active NPI

Saloom Family Health Center

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1417979600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-071720-L Issued in PA
Legal business name
SALOOM FAMILY HEALTH CENTER
Practice address
6533 Route 819 South
Mount Pleasant, PA 15666
Phone
(724) 547-5501
Fax
(724) 547-5510
NPI assigned
Jul 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy E Czekaj
Title
Office Manager
Phone
(724) 547-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD-071720-L PA Primary

Addresses

Primary practice location

6533 Route 819 South
Mount Pleasant, PA 15666

Mailing address

6533 Route 819 South
Mount Pleasant, PA 15666
Phone (724) 547-5501

Other identifiers 1

IdentifierTypeStateIssuer
0018453600004MedicaidPA

National Provider Directory

National Provider Directory

Locations

6533 State Route 819 S
Mt Pleasant, PA 15666
Phone (724) 547-5501

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417979600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 ROUTE 819 SOUTH",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-5501",
            "fax_number": "724-547-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 ROUTE 819 SOUTH",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-5501",
            "fax_number": "724-547-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALOOM FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZEKAJ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-547-5501"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-071720-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018453600004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.