Active NPI
Mary Esther Kanfoush, CRNP
- Family Nurse Practitioner
- Ellwood City, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP010542
- Practice address
- 271 State Route 288
Ellwood City, PA 16117-3055 - Phone
- (724) 773-4681
- Fax
- (724) 770-7966
- NPI assigned
- Nov 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP010542 | PA | Primary |
Addresses
Primary practice location
271 State Route 288
Ellwood City, PA 16117-3055
Mailing address
200 Ohio River Blvd
Baden, PA 15005-1914
Phone (724) 773-6802
Other names 1
- Mary Esther Rodgers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751
Hospital & facility affiliations
- Heritage Valley Beaver
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010542 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Valley Multispecialty Group, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Heritage Valley Multispecialty Group, Inc. | Current | Accepting new patients | |
| Heritage Valley Medical Group, Inc. | Past | Accepting new patients | |
| Muc-Papillion LLC | Past | Accepting new patients |
Locations
200 Ohio River Blvd
Baden, PA 15005
500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683
2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802
2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999
273 State Route 288
Ellwood City, PA 16117
Phone (724) 758-7044
271 State Route 288
Ellwood City, PA 16117
Phone (724) 773-4681
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- marykanfoush@hvhs.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Beaver, PA
- NPI 1528015401
-
- Family Medicine Physician
- Aliquippa, PA
- NPI 1518435981
-
- Cardiovascular Disease Physician
- Beaver, PA
- NPI 1003068891
-
- Urgent Care Clinic/Center
- Papillion, NE
- NPI 1841159944
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1811224439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OHIO RIVER BLVD",
"city": "BADEN",
"state": "PA",
"postal_code": "150051914",
"telephone_number": "724-773-6802",
"fax_number": "724-770-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 STATE ROUTE 288",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161173055",
"telephone_number": "724-773-4681",
"fax_number": "724-770-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANFOUSH",
"first_name": "MARY",
"middle_name": "ESTHER",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "RODGERS",
"middle_name": "ESTHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellwood City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.