Organization Active NPI

Fayette OB/GYN

  • Ambulatory Women's Health Care Registered Nurse
  • Uniontown, PA
National Provider Identifier
1962823112
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
SP013519 Issued in PA
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

Updated by the provider on Dec 13, 2013

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)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.