Fosterbrook Medical Associates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD038201E Issued in PA

Legal business name

FOSTERBROOK MEDICAL ASSOCIATES, PC

Practice address

1223 E Main St
Bradford, PA 16701-3223

Phone

(814) 368-5402

Fax

(814) 368-8155

NPI assigned

Sep 7, 2005

Last updated

Aug 22, 2020By 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

Paul Bruce Kirsch

Title

President

Phone

(814) 368-5402

Specialties & licenses 1

Addresses

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.

• Thayaparan Mathanakaran, M.D

  • Adult Medicine Physician
  • Olean, NY
  • NPI 1891734430
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609860576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013223",
            "telephone_number": "814-368-5402",
            "fax_number": "814-368-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTERBROOK MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-368-5402"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038201E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanann Farris, D.O.
• Virginia G Fass
• Dennis Lee Faucher, DDS
• Roger Feura, RPH
• Alisa Fishkin
• Tracey Lynn Fowler, CRNP
• Cheyanne France, PT, DPT
• Richard Emery Freeman, M.D.
• Mark Fugate
• Nancy Marie Fuhrman, D.C.

• Cardiovascular Disease Physician in Bradford, PA
• Providers in Bradford, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.