Marcus A Fannie, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA002212L Issued in PA

Practice address

5820 Centre Ave
Pittsburgh, PA 15206-3710

Phone

(412) 661-5500

Fax

(412) 661-4760

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Pittsburgh Orthopaedic Associates IncGroup PAC ID 0446157556, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Greater Pittsburgh Orthopaedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
  • NPI 1003850363
  Medicare reassignment Care Compare group NPD
• Greater Pittsburgh Orthopaedic Associates Inc

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
  • NPI 1477003549
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alle-Kiski Medical Center

  • General Acute Care Hospital
  • Natrona Heights, PA
  • NPI 1689679581
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1649207754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIE",
        "first_name": "MARCUS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA002212L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA002212L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Jeffrey Fang, M.D.
• James Fang, PHARMD
• Jennifer Fang, MD
• Ting an Fang, RDN, CDCES
• Yingsi Fang, PHARM.D.
• Nina Fannie, CRNP
• Rosa Fannie
• Michelle Forman Fantaski, CRNA
• Lori Fantazzi, OTR/L
• Danielle Fanti

• Surgical Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.