Organization Active NPI

Mamdouh F El-Attrache MD

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1922213859
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD027815E Issued in PA
Legal business name
MAMDOUH F EL-ATTRACHE MD
Practice address
20 E Main St
Mt Pleasant, PA 15666-2094
Phone
(724) 547-3576
Fax
(724) 547-4241
NPI assigned
May 14, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mamdouh Fawzi El-Attrache, MD
Title
Owner
Phone
(724) 547-3576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD027815E PA Primary

Addresses

Primary practice location

20 E Main St
Mt Pleasant, PA 15666-2094

Mailing address

20 E Main St
Mt Pleasant, PA 15666-2094
Phone (724) 547-3576

Other identifiers 2

IdentifierTypeStateIssuer
1454711OtherPABCBS
0009449710002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1922213859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662094",
            "telephone_number": "724-547-3576",
            "fax_number": "724-547-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662094",
            "telephone_number": "724-547-3576",
            "fax_number": "724-547-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMDOUH F EL-ATTRACHE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "EL-ATTRACHE",
        "authorized_official_first_name": "MAMDOUH",
        "authorized_official_middle_name": "FAWZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-547-3576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027815E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1454711",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009449710002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.