Active NPI
Fayette OB/GYN
- Ambulatory Women's Health Care Registered Nurse
- Uniontown, PA
National Provider Identifier
1962823112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- SP013519
- Legal business name
- FAYETTE OB/GYN
- Practice address
- 404 W Main St
Uniontown, PA 15401-2868 - Phone
- (724) 430-6200
- Fax
- (724) 430-6250
- NPI assigned
- Dec 13, 2013
- 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
- Shelley Wilson
- Title
- Biller
- Phone
- (724) 430-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | SP013519 | PA | Primary |
Addresses
Primary practice location
404 W Main St
Uniontown, PA 15401-2868
Mailing address
404 W Main St
Uniontown, PA 15401-2868
Phone (724) 430-6200
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Uniontown, PA
- NPI 1477553493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386892800000",
"number": "1962823112",
"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",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "724-430-6200"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "PA",
"license": "SP013519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, PA
- Fayette County Mental Health Mental Retardation Program
- Fayette Ear, Nose, Throat and Allergy PC
- Fayette Lung and Sleep Center, PC
- Fayette Medical Associates Inc
- Fayette Medical Associates Inc
- Fayette OB/GYN, P.C.
- Fayette Oncology Associates
- Fayette Oncology Associates
- Fayette Phyicians Network Inc
- Fayette Physician Network Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.