Organization Active NPI

Walk-in Medical Care Office, Inc.

  • Clinic/Center
  • Indiana, PA
National Provider Identifier
1922217066
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD430457 Issued in PA
Legal business name
WALK-IN MEDICAL CARE OFFICE, INC.
Practice address
2125 Oakland Ave
Room 20
Indiana, PA 15701-3397
Phone
(724) 349-8660
Fax
(724) 349-8661
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Harry William Fegley, M.D.
Title
Medical Physician & Surgeon
Phone
(724) 349-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD430457 PA Primary

Addresses

Primary practice location

2125 Oakland Ave
Room 20
Indiana, PA 15701-3397

Mailing address

2125 Oakland Ave
Room 20
Indiana, PA 15701-3397
Phone (724) 349-8660

Other identifiers 3

IdentifierTypeStateIssuer
9715061MedicaidMA
1956499OtherPAHIGHMARK
C25087OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2125 Oakland Ave
Ste 20
Indiana, PA 15701
Phone (724) 349-8660

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1922217066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAKLAND AVE",
            "address_2": "ROOM 20",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013397",
            "telephone_number": "724-349-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAKLAND AVE",
            "address_2": "ROOM 20",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013397",
            "telephone_number": "724-349-8660",
            "fax_number": "724-349-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK-IN MEDICAL CARE OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "FEGLEY",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN & SURGEON",
        "authorized_official_telephone_number": "724-349-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD430457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715061",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1956499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C25087",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.