FPM Urogynecology Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FPM UROGYNECOLOGY CENTER, LLC

Doing business as

FPM Urogynecology Center, LLC

Practice address

3050 Hamilton Blvd Ste 200
Allentown, PA 18103-3691

Phone

(610) 435-9575

Fax

(610) 435-2763

NPI assigned

Sep 13, 2019

Last updated

Sep 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen M Carbo

Title

Asu Coordinator

Phone

(610) 435-9575

Specialties & licenses 1

Addresses

Other names 1

• FPM Urogynecology Center, LLC Doing business as

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1447800222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "610-435-9575",
            "fax_number": "610-435-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "610-435-9575",
            "fax_number": "610-435-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPM UROGYNECOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "CARBO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASU COORDINATOR",
        "authorized_official_telephone_number": "610-435-9575"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPM Urogynecology Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marle Iris Fox, LBS
• Rebecah Fox
• Sara Fox, AUD
• Victoria Fox, PA-C
• Yvette Mary Fox, CRNP
• FPM Urogynecology Center, LLC
• Anthony Fragassi, PT, EDD
• Mary Fragassi, CRNP
• Nicole E Frailey, PA-C
• David C Frame, MD

• Ambulatory Surgical Clinic/Center in Allentown, PA
• Providers in Allentown, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.