FAYETTE SPECIALTY ASSOCIATES (NPI# 1760655724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760655724 |
| Entity Type | Organization |
| Organization Name | FAYETTE SPECIALTY ASSOCIATES |
| Practice Address |
204 Memorial Blvd Connellsville PA 15425-2654 |
| Mailing Address |
211 Easy St Suite 213 Uniontown PA 15401-3129 |
| Practice Telephone | 7246267370 |
| Practice Fax Number | 7246267339 |
| Mailing Telephone | 7244341660 |
| Mailing Fax Number | 7244341659 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | DEBBIE MILLER (ADMINISTRATOR DIRECTOR) |
| Authorized Official Telephone | 7244305797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1008468480003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336441146 | Fayette Specialty Associates | Psychiatry & Neurology | 211 Easy St, Suite 213, Uniontown, PA 15401-3129 | 2010-11-30 |
| 1144520420 | Fayette Specialty Associates | Obstetrics & Gynecology | 112 Youngstown Rd, Suite 102, Lemont Furnace, PA 15456-1344 | 2010-11-02 |
| Street Address |
204 MEMORIAL BLVD |
| City | CONNELLSVILLE |
| State | PA |
| Zip Code | 15425-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856891 | Sarah Lumley | Family Medicine | 204 Memorial Blvd, Connellsville, PA 15425-2654 | 2005-07-28 |
| 1346216918 | Cherie Dolan | Nurse Practitioner | 204 Memorial Blvd, Connellsville, PA 15425-2654 | 2006-02-24 |
| 1932173218 | Fayette Medical Associates Inc | Family Medicine | 204 Memorial Blvd, Connellsville, PA 15425-2654 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272666 | Jennifer Knapp | Counselor | 416 South Pittsburgh Street, Connellsville, PA 15425 | 2016-09-01 |
| 1104290550 | Joseph Slezak | Obstetrics & Gynecology | 159 Keefer Rd, Connesville, PA 15425 | 2015-11-23 |
| 1134564297 | Keli Dawn De Carlo | Counselor | 416 S. Pittsburgh Street, Connellsville Counseling and Psychological Services, Connellsville, PA 15425 | 2013-05-02 |
| 1376823047 | Judith Anne Bell | Family Medicine | 2620-c Memorial Blvd, Highlands Medical, Connellsville, PA 15425 | 2011-08-25 |
| 1891928727 | Laura Ann Barricklow | Pharmacist | 200 Memorial Blvd, Connellsville, PA 15425 | 2009-08-26 |
| 1942323373 | Steven John Roth | Pharmacist | Rt 119 and York Avenue, Connellsville, PA 15425 | 2007-04-09 |
| 1124140694 | Chomiak Dental Associates | Dentist | 215 Noth Pittsburgh Street, Suite B, Connellsville, PA 15425 | 2007-04-04 |
| 1245359470 | Mark A Chemski | Pharmacist | Route 119 and York Ave, Connellsville, PA 15425 | 2007-03-28 |
| 1669590857 | Polepalli S Setty Md Inc | Internal Medicine | 2900 Memorial Blvd, Connellsville, PA 15425 | 2007-03-26 |
| 1376661876 | Connellsville Counseling & Psychological Services | Counselor | 416 South Pittsburgh St, Connellsville, PA 15425 | 2007-03-26 |
| Find all providers in zip 15425 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
| 1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
| 1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | CONNELLSVILLE |
| Zip Code | 15425 |
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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.