Fernan Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS013170 Issued in PA

Legal business name

FERNAN FAMILY PRACTICE

Practice address

200 S. Mill St.
Ridgway, PA 15853

Phone

(814) 772-0722

Fax

(814) 772-6934

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kathlee M Fernan, D.O.

Title

Owner

Phone

(814) 772-0722

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen M Fernan, D.O.

  • Family Medicine Physician
  • Ridgway, PA
  • NPI 1770584070
  Medicare reassignment Care Compare group
• Megen Handley, CRNP

  • Nurse Practitioner
  • St Marys, PA
  • NPI 1336120146
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1659608982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. MILL ST.",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "15853",
            "telephone_number": "814-772-0722",
            "fax_number": "814-772-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. MILL ST.",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "15853",
            "telephone_number": "814-772-0722",
            "fax_number": "814-772-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNAN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "FERNAN",
        "authorized_official_first_name": "KATHLEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-772-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101638607 0006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elk Regional Professional Group, Inc.
• Elk Regional Professional Group, Inc.
• Elk Regional Professional Group, Inc.
• Teresa Jo Elmquist, CRNP- FNP-C
• F & V Prescription Center Inc.
• Kathleen M Fernan, D.O.
• Suzanne Marie Feronti
• Cheyenne Lynn Fralick, DC
• Brittany James Geitner, PA-C
• Zita Greenawalt, RN

• Family Medicine Physician in Ridgway, PA
• Providers in Ridgway, 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 Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.