Gregory Famiglio, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD042726L Issued in PA

Practice address

1101 E 3Rd St
Williamsport, PA 17701-5411

Phone

(570) 505-3180

Fax

(570) 505-3184

NPI assigned

Jun 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pain Recovery Center LLC

  • Pain Medicine Physician
  • Placida, FL
  • NPI 1982069555
  NPD Authorized official
• Family Recovery, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Monroeville, PA
  • NPI 1336851914
  NPD (past)
• Family Recovery, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Washington, PA
  • NPI 1538871116
  NPD (past)
• Family Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • State College, PA
  • NPI 1720788953
  NPD (past)
• Family Recovery, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Blakeslee, PA
  • NPI 1811648967
  NPD (past)
• Family Recovery, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Washington, PA
  • NPI 1831801174
  NPD (past)
• Charlotte Harbor Anesthesia PA

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1912012642
  NPD (past)
• Sarasota Anesthesiologists, PA

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1710917976
  NPD (past)

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1992908503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CINDY AVE",
            "city": "MONTGOMERY",
            "state": "PA",
            "postal_code": "177528795",
            "telephone_number": "570-505-3180",
            "fax_number": "570-505-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015411",
            "telephone_number": "570-505-3180",
            "fax_number": "570-505-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1243 Skytop Mountain Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Port Matilda",
            "state": "PA",
            "postal_code": "168707725",
            "country_code": "US",
            "telephone_number": "814-867-7030",
            "fax_number": "814-867-7032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAMIGLIO",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME58589",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "PA",
            "license": "MD042726L",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD042726L",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD042726L",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD042726L",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD042726L",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD042726L",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD042726L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Louis Esposito III, PA-C
• Sherry Esposito
• Shannon E Evans, LCSW
• Daniel Everett
• Fairfield Family Practice PC
• Family Care Medical Alarms
• Family Recovery, LLC
• Michelle E Fantaskey, BSC
• Alison Michele Farley, REGISTERED NURSE
• Laura Farr, RDH, PHDHP

• Addiction Medicine (Family Medicine) Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Addiction Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.