NPIMap

Organization Active NPI

Fayette Specialty Associates Inc

  • Obstetrics & Gynecology Physician
  • Uniontown, PA
National Provider Identifier
1467452896
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FAYETTE SPECIALTY ASSOCIATES INC
Practice address
211 Easy St
Uniontown, PA 15401-3129
Phone
(724) 430-1810
Fax
(724) 430-1490
NPI assigned
Jul 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nadine Gisane
Title
Assistant Director
Phone
(724) 425-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X PA Primary

Addresses

Primary practice location

211 Easy St
Uniontown, PA 15401-3129

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
209772OtherPAHEALTH AMERICA
001462808MedicaidPA
1530427OtherPAGATEWAY

National Provider Directory

National Provider Directory
Tax ID family
Fayette Specialty Associates10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1142 National Pike
Hopwood, PA 15445
Phone (724) 437-2147

100 Matthew Dr
Ste 213
Uniontown, PA 15401
Phone (724) 434-1200

20 Highland Park Dr
Ste 201
Uniontown, PA 15401
Phone (724) 438-7669

205 Easy St
Ste 107
Uniontown, PA 15401
Phone (724) 438-1464

205 Easy St
Ste 108
Uniontown, PA 15401
Phone (724) 438-3300

205 Easy St
Ste 204
Uniontown, PA 15401
Phone (724) 430-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467452896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EASY ST",
            "address_2": "SUITE 211",
            "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": "211 EASY ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013129",
            "telephone_number": "724-430-1810",
            "fax_number": "724-430-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE SPECIALTY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GISANE",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "724-425-8334"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "209772",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001462808",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1530427",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.