Active NPI
Keystone Family Medicine Associates, P. C.
- Family Medicine Physician
- Mount Carmel, PA
National Provider Identifier
1902859101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-005323-L
- Legal business name
- KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C.
- Practice address
- 28 E 5TH St
Mount Carmel, PA 17851-2106 - Phone
- (570) 339-5754
- Fax
- (570) 339-3820
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond J Kraynak, D.O.
- Title
- President
- Phone
- (570) 339-5754
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-005323-L | PA | Primary |
Addresses
Primary practice location
28 E 5TH St
Mount Carmel, PA 17851-2106
Mailing address
28 E 5TH St
Mount Carmel, PA 17851-2106
Phone (570) 339-5754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016251410001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mount Carmel, PA
- NPI 1548243660
-
- Internal Medicine Physician
- Ashland, PA
- NPI 1437276128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1902859101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 E 5TH ST",
"city": "MOUNT CARMEL",
"state": "PA",
"postal_code": "178512106",
"telephone_number": "570-339-5754",
"fax_number": "570-339-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 E 5TH ST",
"city": "MOUNT CARMEL",
"state": "PA",
"postal_code": "178512106",
"telephone_number": "570-339-5754",
"fax_number": "570-339-3820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "KRAYNAK",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-339-5754",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-005323-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016251410001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Carmel, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.