Organization Active NPI

Fayette Medical Associates Inc

Doing business as The Doctors Office Smithfield

  • Family Medicine Physician
  • Smithfield, PA
National Provider Identifier
1497729891
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAYETTE MEDICAL ASSOCIATES INC
Doing business as
The Doctors Office Smithfield
Practice address
25 Main St
Smithfield, PA 15478-8943
Phone
(724) 569-5140
Fax
(724) 569-5209
NPI assigned
Feb 14, 2006
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
Charlene Pulice
Title
Medical Biller
Phone
(724) 434-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA Primary

Addresses

Primary practice location

25 Main St
Smithfield, PA 15478-8943

Mailing address

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

Other identifiers 7

IdentifierTypeStateIssuer
0015441410018MedicaidPA
26071OtherPARAILROAD MEDICARE
63356OtherPAUNISON
E035OtherPAUPMC
1037778OtherPAGATEWAY
WC53OtherPAHEALTH AMERICA
356567OtherPAHIGHMARK

Other names 1

  • The Doctors Office Smithfield 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.

Locations

25 Main St
Smithfield, PA 15478
Phone (724) 569-1420

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": "1658361600000",
    "number": "1497729891",
    "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": "25 MAIN ST",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154788943",
            "telephone_number": "724-569-5140",
            "fax_number": "724-569-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-07-21",
        "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": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015441410018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "26071",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "63356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "E035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1037778",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "WC53",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "356567",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doctors Office Smithfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, 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.