FAYETTE PHYICIANS NETWORK INC (NPI# 1518350735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518350735 |
Entity Type | Organization |
Organization Name | FAYETTE PHYICIANS NETWORK INC |
Other Organization Name | FAYETTE PHYICIANS NETWORK-UNIONTOWN |
Practice Address |
201 Mary Higginson Ln Suite1 Uniontown PA 15401-2658 |
Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
Practice Telephone | 7244305940 |
Enumeration Date | 2015-03-12 |
Last Update Date | 2015-03-13 |
Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
Authorized Official Telephone | 8589641506 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | MD441591 | PA | Suppliers |
Other Name | Type Code |
---|---|
Fayette Phyicians Network-Uniontown | Doing Business As Name - Organization |
Street Address |
201 MARY HIGGINSON LN SUITE1 |
City | UNIONTOWN |
State | PA |
Zip Code | 15401-2658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508866997 | Heather Vega | Family Medicine | 201 Mary Higginson Ln, Suite 201, Uniontown, PA 15401-2658 | 2005-07-28 |
1982243614 | Kaytlin Heckler | Physician Assistant | 201 Mary Higginson Ln, Uniontown, PA 15401-2658 | 2019-12-28 |
1013319292 | Fayette Physician Network Inc | Family Medicine | 201 Mary Higginson Ln, Suite 1, Uniontown, PA 15401-2658 | 2014-09-19 |
1215379847 | Total Renal Care Inc | Clinic/Center | 201 Mary Higginson Ln, Ste A, Uniontown, PA 15401-2658 | 2013-07-24 |
1295003408 | Fayette Specialty Associates Cardiology | Internal Medicine | 201 Mary Higginson Ln, Suite 2, Uniontown, PA 15401-2658 | 2011-12-02 |
1063601763 | Rachel Japitana Talaman-perez | Family Medicine | 201 Mary Higginson Ln, Suite 1, Uniontown, PA 15401-2658 | 2007-10-18 |
1336281195 | Riad Saradar, Md | Non-Pharmacy Dispensing Site | 201 Mary Higginson Ln, Suite 2, Uniontown, PA 15401-2658 | 2007-02-12 |
1376516633 | Riad Saradar | Internal Medicine | 201 Mary Higginson Ln, Suite 2, Uniontown, PA 15401-2658 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
Find all providers in zip 15401 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
1336281195 | Riad Saradar, Md | Non-Pharmacy Dispensing Site | 201 Mary Higginson Ln, Suite 2, Uniontown, PA 15401-2658 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
1194212407 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 121 Freeport Rd Ste 100, Blawnox, PA 15238-3411 | 2018-04-23 |
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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.