Foundations Medical Services LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

FOUNDATIONS MEDICAL SERVICES LLC

Practice address

124 Hollywood Dr
Bantam Commons Building 2
Butler, PA 16001-5600

Phone

(724) 431-2006

Fax

(724) 431-2003

NPI assigned

Feb 13, 2007

Last updated

Aug 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan E Wolf

Title

Ceo

Phone

(814) 940-0407

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Opioid treatment program

Medicare-enrolled since Jul 1, 2021

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pyrmaid Healthcare Inc.

  • Methadone Clinic
  • York, PA
  • NPI 1740457514

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Blinn

  • Internal Medicine Physician
  • Bellevue, PA
  • NPI 1124091871
  Medicare reassignment NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1831231265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HINDMAN RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012417",
            "telephone_number": "724-431-2006",
            "fax_number": "724-431-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HOLLYWOOD DR",
            "address_2": "BANTAM COMMONS BUILDING 2",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015600",
            "telephone_number": "724-431-2006",
            "fax_number": "724-431-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-940-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "107034",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Scott Fogel, OD
• Kayla Foley
• Carol Michele Fong, M.S.W., L.I.S.W.
• Robert W Fornalczyk, D.D.S.
• William Burton Forsythe, LPC, NBCC
• Sarah Lene Fox, ATC
• Alaina Jane Franchi, PA-C
• Diane T Frederick, FNP-C
• Lauren Frederick, DC
• Christiana Fleeger Freehling, P.A.-C

• Methadone Clinic in Butler, PA
• Providers in Butler, PA by specialty
• Methadone Clinic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.