NPIMap

Organization Active NPI

Fayette Medical Associates Inc

  • Family Medicine Physician
  • Uniontown, PA
National Provider Identifier
1831163948
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAYETTE MEDICAL ASSOCIATES INC
Practice address
104 Delaware Ave
Suite 240
Uniontown, PA 15401-3100
Phone
(724) 434-1655
Fax
(724) 430-3879
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Charlene Pulice
Title
Medical Biller
Phone
(724) 434-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 Delaware Ave
Suite 240
Uniontown, PA 15401-3100

Mailing address

211 Easy St
Uniontown, PA 15401-3129
Phone (724) 434-1650

Other identifiers 7

IdentifierTypeStateIssuer
356573OtherPAHIGHMARK
1028215OtherPAGATEWAY
26055OtherPARAILROAD MEDICARE
3411OtherPAUPMC
WB20OtherPAHEALTH AMERICA
0015441410017MedicaidPA
62007OtherPAUNIONTOWN

Other names 1

  • The Doctors Office Uniontown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fayette Medical Associates Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1831163948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EASY ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013129",
            "telephone_number": "724-434-1650",
            "fax_number": "724-434-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DELAWARE AVE",
            "address_2": "SUITE 240",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013100",
            "telephone_number": "724-434-1655",
            "fax_number": "724-430-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PULICE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "724-434-1650"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "356573",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1028215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "26055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "3411",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "WB20",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015441410017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIONTOWN",
            "identifier": "62007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doctors Office Uniontown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.