Active NPI
Fayette Medical Associates Inc
- Family Medicine Physician
- Lemont Furnace, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- 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
- Charlene Pulice
- Title
- Medical Biller
- Phone
- (724) 425-8317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015441410020 | Medicaid | PA | |
| CC8758 | Other | PA | RAILROAD MEDICARE |
| 782000 | Other | PA | HIGHMARK |
| 4441 | Other | PA | UPMC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Uniontown, PA
- NPI 1720079296
-
- Nurse Practitioner
- Uniontown, PA
- NPI 1326016213
-
- Physician Assistant
- Brockport, NY
- NPI 1992773840
-
- Family Medicine Physician
- Denver, CO
- NPI 1316987852
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.