FAYETTE MEDICAL ASSOCIATES INC (NPI# 1659345924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659345924 |
| Entity Type | Organization |
| Organization Name | FAYETTE MEDICAL ASSOCIATES INC |
| Other Organization Name | THE DOCTORS OFFICE MASONTOWN |
| Practice Address |
2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 |
| Mailing Address |
112 Youngstown Rd Suite 101 Lemont Furnace PA 15456-1344 |
| Practice Telephone | 7245832819 |
| Practice Fax Number | 7245838550 |
| Mailing Telephone | 7244258317 |
| Mailing Fax Number | 7244258326 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | CHARLENE PULICE (MEDICAL BILLER) |
| Authorized Official Telephone | 7244258317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015441410014 | 05 | |
| PA | GATEWAY | 1038270 | 01 |
| PA | RAILROAD MEDICARE | 26024 | 01 |
| PA | UPMC | E034 | 01 |
| PA | UNISON | 78017 | 01 |
| PA | HEALTH AMERICA | WC06 | 01 |
| PA | HIGHMARK | 356566 | 01 |
| Other Name | Type Code |
|---|---|
| The Doctors Office Masontown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301368 | Fayette Medical Associates Inc | Family Medicine | 112 Youngstown Rd, Suite 101, Lemont Furnace, PA 15456-1344 | 2005-07-28 |
| 1659714822 | Fayette Medical Associates Inc | Internal Medicine | 25 Highland Park Dr, Suite 203, Uniontown, PA 15401-8402 | 2013-04-08 |
| 1831163948 | Fayette Medical Associates Inc | Family Medicine | 104 Delaware Ave, Suite 240, Uniontown, PA 15401-3100 | 2006-02-15 |
| 1497729891 | Fayette Medical Associates Inc | Family Medicine | 25 Main St, Smithfield, PA 15478-8943 | 2006-02-14 |
| 1427022706 | Fayette Medical Associates Inc | Family Medicine | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2006-02-14 |
| 1932173218 | Fayette Medical Associates Inc | Family Medicine | 204 Memorial Blvd, Connellsville, PA 15425-2654 | 2006-02-14 |
| Street Address |
2175 MCCLELLANDTOWN RD SUITE 201 |
| City | MASONTOWN |
| State | PA |
| Zip Code | 15461-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028527 | Brian Mudry | Family Medicine | 2175 Mcclellandtown Rd, Suite 201, Masontown, PA 15461-2593 | 2005-07-28 |
| 1053704429 | Fayette Physician Network Inc | Non-Pharmacy Dispensing Site | 2175 Mcclellandtown Rd, Masontown, PA 15461-2593 | 2015-03-10 |
| 1780086967 | Fayette Physician Network Inc | Family Medicine | 2175 Mcclellandtown Rd, Suite 201, Masontown, PA 15461-2593 | 2014-09-19 |
| 1669793907 | Jaclyn Delgreco | Family Medicine | 2175 Mcclellandtown Rd, Masontown, PA 15461-2593 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184710238 | James Vance Weimer | Dentist | 115 N Water St, Masontown, PA 15461 | 2006-10-05 |
| 1043228539 | Arnold Oehrn Koon | Dentist | 546 North Main Street, Masontown, PA 15461 | 2006-08-03 |
| 1336664960 | Albert Gallatin Human Services | Meals | 22 South Main St, Masontown, PA 15461 | 2017-08-04 |
| 1194996355 | Covilles Personal Care Home | Custodial Care Facility | 5 S 2nd St, Masontown, PA 15461-1538 | 2008-03-17 |
| 1487814430 | Cloverdale Personal Care Home | Custodial Care Facility | 206 Westwood Ave, Masontown, PA 15461-1646 | 2008-06-12 |
| 1225012073 | David P Alan | Optometrist | 203 N Redwood St, Masontown, PA 15461-1668 | 2005-12-05 |
| 1952732992 | Southwestern Eye Centers, LLC | Eyewear Supplier (Equipment, not the service) | 203 N Redwood St, Masontown, PA 15461-1668 | 2013-12-02 |
| 1780848291 | Pouvoir Company LLC | Durable Medical Equipment & Medical Supplies | 203 N Redwood St, Masontown, PA 15461-1668 | 2008-07-14 |
| 1144429002 | Carla Franks | Nurse Practitioner | Amedysis Hospice, 2183 Mcclellandtown Road, Masontown, PA 15461-1727 | 2007-07-12 |
| 1770580623 | James T Rhoades | Optometrist | 500 N Water St, Masontown, PA 15461-1778 | 2005-07-07 |
| Find all providers in zip 15461 | ||||
| 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 |
|---|---|---|---|---|
| 1861786568 | Albert Gene Mays | Family Medicine | 658 Burke Road, Masontown, WV 26542 | 2011-05-31 |
| 1710142278 | Vicky Lynn Mays | Family Medicine | 632 Burke Rd, Masontown, WV 26542-9170 | 2008-07-24 |
| 1124028527 | Brian Mudry | Family Medicine | 2175 Mcclellandtown Rd, Suite 201, Masontown, PA 15461-2593 | 2005-07-28 |
| 1780086967 | Fayette Physician Network Inc | Family Medicine | 2175 Mcclellandtown Rd, Suite 201, Masontown, PA 15461-2593 | 2014-09-19 |
| 1497161624 | Country Doctors Family Medicine Professional Corporation | Family Medicine | 632 Burke Rd, Masontown, WV 26542-9170 | 2014-07-09 |
| 1669793907 | Jaclyn Delgreco | Family Medicine | 2175 Mcclellandtown Rd, Masontown, PA 15461-2593 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.