Muncy Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007523E Issued in PA

Legal business name

MUNCY FAMILY PRACTICE LLC

Practice address

151 John Brady Dr
Suite 4
Pennsdale, PA 17756-8401

Phone

(570) 546-8255

Fax

(570) 546-3668

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

James F Way Jr., D.O.

Title

Physican/Owner

Phone

(570) 546-8255

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William P Bartlow, MD

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1881690501
  NPD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1891245247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 JOHN BRADY DR",
            "address_2": "SUITE 4",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177568401",
            "telephone_number": "570-546-8255",
            "fax_number": "570-546-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 JOHN BRADY DR",
            "address_2": "SUITE 4",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177568401",
            "telephone_number": "570-546-8255",
            "fax_number": "570-546-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "570-546-8255",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007523E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families United Network, Inc.
• Gabriel Jay Johnson, O.D.
• Lawrence R Leggieri Sr., DDS
• Luxottica Retail North America Inc
• Muncy Family Practice
• Muncy Township Volunteer Fire
• Muncy Township Volunteer Fire

• Family Medicine Physician in Pennsdale, PA
• Providers in Pennsdale, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.