NPIMap

Organization Active NPI

Fayette Medical Associates Inc

  • Family Medicine Physician
  • Grindstone, PA
National Provider Identifier
1427022706
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAYETTE MEDICAL ASSOCIATES INC
Practice address
111B Roberts Rd
Grindstone, PA 15442-1105
Phone
(724) 785-2161
Fax
(724) 785-3187
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Charlene Pulice
Title
Medical Biller
Phone
(724) 434-1650

Specialties & licenses 1

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

Addresses

Primary practice location

111B Roberts Rd
Grindstone, PA 15442-1105

Mailing address

211 Easy St
Uniontown, PA 15401-3129
Phone (724) 434-1650

Other identifiers 7

IdentifierTypeStateIssuer
63354OtherPAUNISON
B134OtherPAUPMC
0015441410015MedicaidPA
26073OtherPARAILROAD MEDICARE
356571OtherPAHIGHMARK
WC05OtherPAHEALTH AMERICA
1035004OtherPAGATEWAY

Other names 1

  • The Doctors Office Brownsville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fayette Medical Associates Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1427022706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EASY ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013129",
            "telephone_number": "724-434-1650",
            "fax_number": "724-434-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111B ROBERTS RD",
            "city": "GRINDSTONE",
            "state": "PA",
            "postal_code": "154421105",
            "telephone_number": "724-785-2161",
            "fax_number": "724-785-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PULICE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "724-434-1650"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "63354",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "B134",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015441410015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "26073",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "356571",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "WC05",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1035004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doctors Office Brownsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grindstone, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.