Fayette OB/GYN, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

FAYETTE OB/GYN, P.C.

Practice address

404 W Main St
Uniontown, PA 15401-2868

Phone

(724) 430-6200

Fax

(724) 430-6250

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Shelley A Wilson

Title

Biller

Phone

(724) 430-6200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1902986375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012868",
            "telephone_number": "724-430-6200",
            "fax_number": "724-430-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012868",
            "telephone_number": "724-430-6200",
            "fax_number": "724-430-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE OB/GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "724-430-6200"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015988600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fayette Ear, Nose, Throat and Allergy PC
• Fayette Lung and Sleep Center, PC
• Fayette Medical Associates Inc
• Fayette Medical Associates Inc
• Fayette OB/GYN
• Fayette Oncology Associates
• Fayette Oncology Associates
• Fayette Phyicians Network Inc
• Fayette Physician Network Inc
• Fayette Physician Network Inc

• Obstetrics & Gynecology Physician in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.