FAYETTE CLINIC, PLLC (NPI# 1851580468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851580468 |
| Entity Type | Organization |
| Organization Name | FAYETTE CLINIC, PLLC |
| Practice Address |
1 Physicians Plaza Lochgelly WV 25866 |
| Mailing Address |
1 Physicians Plaza Po Box 130 Lochgelly WV 25866 |
| Practice Telephone | 3044693334 |
| Mailing Telephone | 3044693334 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | MS. DARLENE NEWELL (OFFICE MANAGER) |
| Authorized Official Telephone | 3044693334 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | WV | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0206041003 | 05 | |
| WV | RURAL HEALTH PROVIDER # | 513906 | 01 |
| WV | 0206041000 | 05 | |
| WV | FEDERAL BLACK LUNG | 200164 | 01 |
| WV | BC/BS | 001708474 | 01 |
| Street Address |
1 PHYSICIANS PLAZA |
| City | LOCHGELLY |
| State | WV |
| Zip Code | 25866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516553 | Ryan D Newell | Family Medicine | 1 Physicians Plaza, Lochgelly, WV 25866-9999 | 2005-08-31 |
| 1285034488 | Maegan Osborne | Nurse Practitioner | 1 Physicians Plaza, Lochgelly, WV 25866 | 2014-08-26 |
| 1952505851 | Jessica Swank | Family Medicine | 1 Physicians Plaza, Lochgelly, WV 25866-0001 | 2007-06-13 |
| 1295729358 | Stacey J Slayton | Pharmacist | 1 Physicians Plaza, Access Health Pharmacy, Lochgelly, WV 25866 | 2005-09-06 |
| 1073506465 | Community Health Systems Inc. | Clinic/Center | 1 Physicians Plaza, Lochgelly, WV 25866-9999 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811380728 | Community Health Systems Inc | Pharmacy | One Physician's Drive, Lochgelly, WV 25866 | 2015-03-17 |
| 1588833115 | Community Health Systems Inc | Pharmacy | One Physicians Drive, Lochgelly, WV 25866 | 2008-02-28 |
| 1962495333 | Donald Clifford Newell Jr. | Family Medicine | General Delivery, Lochgelly, WV 25866-0130 | 2005-08-31 |
| 1720071194 | Lisa R Newell | Family Medicine | General Delivery, Lochgelly, WV 25866-9999 | 2005-08-31 |
| 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 |
|---|---|---|---|---|
| 1962495333 | Donald Clifford Newell Jr. | Family Medicine | General Delivery, Lochgelly, WV 25866-0130 | 2005-08-31 |
| 1174516553 | Ryan D Newell | Family Medicine | 1 Physicians Plaza, Lochgelly, WV 25866-9999 | 2005-08-31 |
| 1952505851 | Jessica Swank | Family Medicine | 1 Physicians Plaza, Lochgelly, WV 25866-0001 | 2007-06-13 |
| 1720071194 | Lisa R Newell | Family Medicine | General Delivery, Lochgelly, WV 25866-9999 | 2005-08-31 |
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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.