NPIMap

Organization Active NPI

Guy Michael Fasciana MD

  • Internal Medicine Physician
  • Duryea, PA
National Provider Identifier
1982196002
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039471L Issued in PA
Legal business name
GUY MICHAEL FASCIANA MD
Practice address
605 Main St
Duryea, PA 18642-1325
Phone
(570) 457-1110
Fax
(570) 457-2950
NPI assigned
Jun 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Dr. Guy Michael Fasciana, MDNPI 1689689341
Title
Physician
Phone
(570) 457-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD039471L PA Primary

Addresses

Primary practice location

605 Main St
Duryea, PA 18642-1325

Mailing address

605 Main St
Duryea, PA 18642-1325
Phone (570) 457-1110

National Provider Directory

National Provider Directory

Locations

605 Main St
Duryea, PA 18642
Phone (570) 457-1110

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": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1982196002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421325",
            "telephone_number": "570-457-1110",
            "fax_number": "570-457-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421325",
            "telephone_number": "570-457-1110",
            "fax_number": "570-457-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY MICHAEL FASCIANA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "FASCIANA",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-457-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039471L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duryea, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.