FAYETTE PHYSICIAN NETWORK INC (NPI# 1588066765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588066765 |
| Entity Type | Organization |
| Organization Name | FAYETTE PHYSICIAN NETWORK INC |
| Other Organization Name | FPN SMITHFIELD |
| Practice Address |
25 Main St Smithfield PA 15478-8943 |
| Practice Telephone | 7245691420 |
| Practice Fax Number | 7245695209 |
| Mailing Telephone | 7245691420 |
| Mailing Fax Number | 7245695209 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | MARK EHALT (SR.DIRECTOR) |
| Authorized Official Telephone | 4126470943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FPN Smithfield | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518369792 | Fayette Physician Network Inc | Family Medicine | 224 Memorial Blvd, Connellsville, PA 15425-2654 | 2014-09-19 |
| 1447624499 | Fayette Physician Network Inc | Internal Medicine | 20 Highland Park Dr, Uniontown, PA 15401-8922 | 2015-11-13 |
| 1245623453 | Fayette Physician Network Inc | Non-Pharmacy Dispensing Site | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2015-03-12 |
| 1154714368 | Fayette Physician Network Inc | Non-Pharmacy Dispensing Site | 224 Memorial Blvd, Connellsville, PA 15425-2654 | 2015-03-12 |
| 1053704429 | Fayette Physician Network Inc | Non-Pharmacy Dispensing Site | 2175 Mcclellandtown Rd, Masontown, PA 15461-2593 | 2015-03-10 |
| 1992107817 | Fayette Physician Network Inc | Internal Medicine | 500 W Berkeley St, Uniontown, PA 15401-5514 | 2014-09-23 |
| 1780086694 | Fayette Physician Network Inc | Psychiatry & Neurology | 500 W Berkeley St, Uniontown, PA 15401-5514 | 2014-09-23 |
| 1710389994 | Fayette Physician Network Inc | Family Medicine | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2014-09-19 |
| 1780086967 | Fayette Physician Network Inc | Family Medicine | 2175 Mcclellandtown Rd, Suite 201, Masontown, PA 15461-2593 | 2014-09-19 |
| 1013319292 | Fayette Physician Network Inc | Family Medicine | 201 Mary Higginson Ln, Suite 1, Uniontown, PA 15401-2658 | 2014-09-19 |
| Street Address |
25 MAIN ST |
| City | SMITHFIELD |
| State | PA |
| Zip Code | 15478-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881087096 | Fayette Physicians Network Inc | Non-Pharmacy Dispensing Site | 25 Main St, Smithfield, PA 15478-8943 | 2015-03-12 |
| 1649687781 | Ashley Marie Ludwig | Nurse Practitioner | 25 Main St, Smithfield, PA 15478-8943 | 2014-07-21 |
| 1043312002 | Gwenda Lynn Anderson | Physical Therapy Assistant | 25 Main St, Suite 7, Smithfield, PA 15478-8943 | 2006-09-01 |
| 1578599320 | Richard H Martin | Physical Therapist | 25 Main St, Suite 7, Smithfield, PA 15478-8943 | 2006-06-23 |
| 1497729891 | Fayette Medical Associates Inc | Family Medicine | 25 Main St, Smithfield, PA 15478-8943 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897402 | Lynn Cottrell | Technician | 251 Blue Rock Road, Smithfield, PA 15478 | 2019-08-23 |
| 1043393606 | Glenn Douglas Smiley | Dentist | 3090 Morgantown Rd, Smithfield, PA 15478 | 2006-10-24 |
| 1851321574 | Michael David Rua | Physician Assistant | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478 | 2006-07-05 |
| 1942619416 | David Carlton Seitz | Dentist | 37 Main St, Smithfield, PA 15478 | 2014-08-08 |
| 1447237680 | Robert S English Jr. | Dermatology | 2160 Springhill Furnace Rd, Smithfield, PA 15478 | 2005-12-29 |
| 1194063545 | Mary Ann Leadbeater | Home Health | 385 Smithfield Highhouse Rd, Smithfield, PA 15478-1237 | 2013-01-18 |
| 1417460155 | Guardian Angels Home Care | Home Health | 385 Smithfield Highhouse Rd, Smithfield, PA 15478-1237 | 2017-11-15 |
| 1942299466 | James Edwin Lynn | Pharmacist | 102 Main St, Smithfield, PA 15478-1260 | 2005-10-18 |
| 1750637161 | J and H Home Medical | Durable Medical Equipment & Medical Supplies | 118 Gans Hill School Rd, Smithfield, PA 15478-1324 | 2012-08-03 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| Find all providers in zip 15478 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205374709 | The Raven | Family Medicine | 1652 E Booker Dairy Rd, Smithfield, NC 27577-9405 | 2017-02-03 |
| 1548465735 | Smithfield Family Practice Pa | Family Medicine | 1551 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2007-06-18 |
| 1538254388 | Steven Edward Landau | Family Medicine | 707 Wilkins St, Smithfield, NC 27577-4647 | 2006-10-04 |
| 1598877359 | Brian Keith Harris | Family Medicine | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2006-08-31 |
| 1316970908 | Raghu R Katuru | Family Medicine | 1551 Booker Dairy Rd, Smithfield, NC 27577-9472 | 2006-07-08 |
| 1669420089 | Renee G Watson | Family Medicine | 713 Wilkins St, Smithfield, NC 27577-4647 | 2006-05-05 |
| 1063472462 | Marie Luise Zaldivar | Family Medicine | 127 E Market St, Smithfield, NC 27577-3915 | 2006-03-28 |
| 1992765531 | Todd Alma Brown | Family Medicine | 291 S Main St, Suite C, Smithfield, UT 84335-1902 | 2006-03-27 |
| 1760466841 | Donald Wayne Lundie | Family Medicine | 919 S Church St, Smithfield, VA 23430-1715 | 2005-12-02 |
| 1154305498 | Miroslav Gavazov | Family Medicine | 861 Berkshire Rd, Smithfield, NC 27577-4728 | 2005-11-30 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 15478 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.