Kathy Fragale, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052211 Issued in PA

Practice address

288 Sizerville Rd
Emporium, PA 15834-3944

Phone

(814) 486-0810

Fax

(814) 486-0631

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Charles Cole Memorial Hopstial

  • Obstetrics & Gynecology Physician
  • Coudersport, PA
  • NPI 1306875042
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1720128143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 SIZERVILLE RD",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158343944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 SIZERVILLE RD",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158343944",
            "telephone_number": "814-486-0810",
            "fax_number": "814-486-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGALE",
        "first_name": "KATHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathy.j.fragale@upmcdirect.com",
            "affiliation": "Y",
            "endpointDescription": "UPMC Cole",
            "affiliationName": "Charles Cole Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "288 Sizerville Rd",
            "city": "Emporium",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158343944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dubois Regional Medical Center - Penn Highlands Family Med Emporium
• Elk Regional Health Center
• Elk Regional Health Center
• Elk Regional Professional Group, Inc.
• Elk Regional Professional Group, Inc.
• Shivraj Goyal, MD
• Nicole Gralak, DPT
• Guy and Mary Felt Manor, Inc.
• Robin Hammersley, CRNP
• Youna Han

• Physician Assistant in Emporium, PA
• Providers in Emporium, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.