Organization Active NPI

Fayette Medical Associates Inc

  • Family Medicine Physician
  • Lemont Furnace, PA
National Provider Identifier
1952301368
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAYETTE MEDICAL ASSOCIATES INC
Practice address
112 Youngstown Rd
Suite 101
Lemont Furnace, PA 15456-1344
Phone
(724) 432-5831
Fax
(724) 425-8326
NPI assigned
Jul 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Charlene Pulice
Title
Medical Biller
Phone
(724) 425-8317

Specialties & licenses 1

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

Addresses

Primary practice location

112 Youngstown Rd
Suite 101
Lemont Furnace, PA 15456-1344

Mailing address

112 Youngstown Rd
Suite 101
Lemont Furnace, PA 15456-1344
Phone (724) 432-5831

Other identifiers 4

IdentifierTypeStateIssuer
0015441410020MedicaidPA
CC8758OtherPARAILROAD MEDICARE
782000OtherPAHIGHMARK
4441OtherPAUPMC

National Provider Directory

National Provider Directory

Locations

111 Thornton Rd
Brownsville, PA 15417
Phone (724) 785-2286

112 Youngstown Rd
Ste 101
Lemont Furnace, PA 15456
Phone (724) 432-5831

200 N Redwood St
Masontown, PA 15461
Phone (724) 583-2819

100 Woodlawn Ave
Ste 225
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Ofc
Uniontown, PA 15401
Phone (724) 430-5940

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952301368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 YOUNGSTOWN RD",
            "address_2": "SUITE 101",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561344",
            "telephone_number": "724-432-5831",
            "fax_number": "724-425-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 YOUNGSTOWN RD",
            "address_2": "SUITE 101",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561344",
            "telephone_number": "724-432-5831",
            "fax_number": "724-425-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PULICE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "724-425-8317"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015441410020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC8758",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "782000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "4441",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont Furnace, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.