Fogelsville Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD043739L Issued in PA

Legal business name

FOGELSVILLE FAMILY MEDICINE

Practice address

8031 Main St
Fogelsville, PA 18051-1724

Phone

(610) 336-4676

Fax

(610) 336-4677

NPI assigned

Apr 17, 2006

Last updated

Apr 5, 2010By 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

Dr. Elizabeth Stanton, MDNPI 1013915495

Title

Owner

Phone

(610) 336-4676

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.

• Elizabeth Stanton, MD

  • Family Medicine Physician
  • Fogelsville, PA
  • NPI 1013915495
  Authorized official Same address or phone

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1649235482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 MAIN ST",
            "address_2": "PO BOX 668",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511724",
            "telephone_number": "610-336-4676",
            "fax_number": "610-336-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 MAIN ST",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511724",
            "telephone_number": "610-336-4676",
            "fax_number": "610-336-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGELSVILLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-336-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043739L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnna Cook, LSW
• Linda Sue Critzer, CRNA
• Shannon Dass, CRNP
• David W Daley DO PC
• Dynamic Moves Physical Therapy, P.C.
• Scott Garth Freeman, SCOTT FREEMAN
• Stacey Nicole Fritzinger, LPC, CADC
• Janice D. Gerlach, CRNA
• Benjamin Howard Gilbert, D.C.
• Ravikumari Gollapalli, M.D

• Family Medicine Physician in Fogelsville, PA
• Providers in Fogelsville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.