Individual provider Active NPI

Nicholas E Fuerst, M.D.

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1548239429
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD017350E Issued in PA
Practice address
151 N Franklin St
Washington, PA 15301-4307
Phone
(724) 222-7240
NPI assigned
Mar 14, 2006
Last updated
Dec 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD017350E PA Primary

Addresses

Primary practice location

151 N Franklin St
Washington, PA 15301-4307

Mailing address

1910 Cochran Rd # Manor2
Suite 490
Pittsburgh, PA 15220-1203
Phone (412) 531-2902

Other identifiers 2

IdentifierTypeStateIssuer
0006772050001MedicaidPA
073935OtherPAHIGHMARK BS/ KHPW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD017350EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assisted Living at Evergreen, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1548239429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 COCHRAN RD # MANOR2",
            "address_2": "SUITE 490",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201203",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N FRANKLIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014307",
            "telephone_number": "724-222-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERST",
        "first_name": "NICHOLAS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD017350E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006772050001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS/ KHPW",
            "identifier": "073935",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.