Active NPI
Fayette Medical Associates Inc
Doing business as The Doctors Office Smithfield
- Family Medicine Physician
- Smithfield, PA
National Provider Identifier
1497729891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015441410018 | Medicaid | PA | |
| 26071 | Other | PA | RAILROAD MEDICARE |
| 63356 | Other | PA | UNISON |
| E035 | Other | PA | UPMC |
| 1037778 | Other | PA | GATEWAY |
| WC53 | Other | PA | HEALTH AMERICA |
| 356567 | Other | PA | HIGHMARK |
Other names 1
- The Doctors Office Smithfield
National Provider Directory
National Provider Directory- Tax ID family
- Fayette Medical Associates Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Doctors Office Brownsville
- Family Medicine Physician
- Grindstone, PA
- NPI 1427022706
-
dba The Doctors Office Masontown
- Family Medicine Physician
- Masontown, PA
- NPI 1659345924
-
- Internal Medicine Physician
- Uniontown, PA
- NPI 1659714822
-
dba The Doctors Office Uniontown
- Family Medicine Physician
- Uniontown, PA
- NPI 1831163948
-
dba The Doctors Office Connellsville
- Family Medicine Physician
- Connellsville, PA
- NPI 1932173218
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
- Haylee Crum
- Darlene Friend Counseling & Consultation LLC
- David C. Seitz DDS PC
- Aaron Duane Early
- Robert S English Jr., MD
- Fayette Physician Network Inc
- Fayette Physicians Network Inc (Fayette Physicians Network-Smithfield)
- Jeffrey Glenn Freeman, D.C.
- Darlene Marie Friend, MSW, LICSW
- Nathan T Glass, PA-C
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.