FERNAN FAMILY PRACTICE (NPI# 1659608982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659608982 |
| Entity Type | Organization |
| Organization Name | FERNAN FAMILY PRACTICE |
| Practice Address |
200 S. Mill St. Ridgway PA 15853 |
| Practice Telephone | 8147720722 |
| Practice Fax Number | 8147726934 |
| Mailing Telephone | 8147720722 |
| Mailing Fax Number | 8147726934 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | DR. KATHLEE M FERNAN (OWNER) |
| Authorized Official Telephone | 8147720722 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS013170 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101638607 0006 | 05 |
| Street Address |
200 S. MILL ST. |
| City | RIDGWAY |
| State | PA |
| Zip Code | 15853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628561 | Alex Brazinski | Acupuncturist | 324 South Street, Ridgway, PA 15853 | 2017-02-13 |
| 1245455591 | Warren Henry Riegel | Optometrist | 14 S Mill Ave, Ridgway, PA 15853 | 2007-04-13 |
| 1750418554 | Dickinson Center, Inc | Case Management | 43 Servidea, Ridgway, PA 15853 | 2007-02-27 |
| 1538214473 | Charles P Bender | Chiropractor | 1139 Montmorenci Rd, Ridgway, PA 15853 | 2007-01-23 |
| 1164503322 | Dickinson Center, Inc | Community/Behavioral Health | 43 Servidea Drive, Ridgway, PA 15853 | 2006-10-17 |
| 1689605107 | David J Webster | Social Worker | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-05 |
| 1982651519 | Ridgway Area School District | Local Education Agency (LEA) | 62 School Drive, Ridgway, PA 15853 | 2006-05-28 |
| 1982668885 | Elk Regional Professional Group, Inc. | Anesthesiology | 104 Metoxet Street, Ridgway, PA 15853 | 2006-04-17 |
| 1194707992 | Ridgway Ambulance Corporation | Ambulance | 120 North Broad Street, Ridgway, PA 15853 | 2005-11-17 |
| 1770584070 | Kathleen M Fernan | Family Medicine | 200 South Mill Street, Ridgway, PA 15853 | 2005-08-09 |
| Find all providers in zip 15853 | ||||
| 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 |
|---|---|---|---|---|
| 1225419781 | Sarah Kelley-spearing | Family Medicine | Rocky Mountain Integrative Medicine, 160 S. Amelia St., Ridgway, CO 81432 | 2015-06-10 |
| 1801207576 | Olumuyiwa Adebona | Family Medicine | 104 Metoxet St Ste A, Ridgway, PA 15853-1932 | 2014-05-15 |
| 1356535397 | Med Contract, Inc. | Family Medicine | 113 W Main, Ridgway, IL 62978 | 2007-09-04 |
| 1205925344 | Loran David Sherwood | Family Medicine | 570 Palomino Trl, Ridgway, CO 81432-9246 | 2006-10-12 |
| 1477642569 | Joel Thomas Gates | Family Medicine | 295 Sherman Street, Ridgway, CO 81432 | 2006-10-12 |
| 1164449039 | Paul Ray Glanville | Family Medicine | 21945 Highway 550, Ridgway, CO 81432-9660 | 2006-07-16 |
| 1689642571 | Mountain Medical Center LLC | Family Medicine | 295 Sherman St, Ridgway, CO 81432-0298 | 2006-03-08 |
| 1407857774 | Joseph G Coroso | Family Medicine | 104 Metoxet St, Ridgway, PA 15853-1932 | 2005-08-09 |
| 1770584070 | Kathleen M Fernan | Family Medicine | 200 South Mill Street, Ridgway, PA 15853 | 2005-08-09 |
| 1528671724 | Sarah Kelley-spearing D.o., Prof.llc | Family Medicine | 160 S Amelia St, Ridgway, CO 81432-9518 | 2020-08-26 |
| Find all providers in RIDGWAY | ||||
Please comment or provide details below to improve the information on FERNAN FAMILY PRACTICE.
| 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.