NPIMap

Organization Active NPI

Fayette Specialty Associates

  • Obstetrics & Gynecology Physician
  • Connellsville, PA
National Provider Identifier
1760655724
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FAYETTE SPECIALTY ASSOCIATES
Practice address
204 Memorial Blvd
Connellsville, PA 15425-2654
Phone
(724) 626-7370
Fax
(724) 626-7339
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Debbie Miller
Title
Administrator Director
Phone
(724) 430-5797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X PA Primary

Addresses

Primary practice location

204 Memorial Blvd
Connellsville, PA 15425-2654

Mailing address

211 Easy St
Suite 213
Uniontown, PA 15401-3129
Phone (724) 434-1660

Other identifiers 1

IdentifierTypeStateIssuer
1008468480003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Fayette Specialty Associates10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1760655724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EASY ST",
            "address_2": "SUITE 213",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013129",
            "telephone_number": "724-434-1660",
            "fax_number": "724-434-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEMORIAL BLVD",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252654",
            "telephone_number": "724-626-7370",
            "fax_number": "724-626-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE SPECIALTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR DIRECTOR",
        "authorized_official_telephone_number": "724-430-5797"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008468480003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.