FAYETTE PHYSICIANS NETWORK INC (NPI# 1881087096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881087096 |
| Entity Type | Organization |
| Organization Name | FAYETTE PHYSICIANS NETWORK INC |
| Other Organization Name | FAYETTE PHYSICIANS NETWORK-SMITHFIELD |
| Practice Address |
25 Main St Smithfield PA 15478-8943 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7245691420 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| 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 | OS012923 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Fayette Physicians Network-Smithfield | Doing Business As Name - Organization |
| Street Address |
25 MAIN ST |
| City | SMITHFIELD |
| State | PA |
| Zip Code | 15478-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588066765 | Fayette Physician Network Inc | Family Medicine | 25 Main St, Smithfield, PA 15478-8943 | 2014-09-19 |
| 1649687781 | Ashley Marie Ludwig | Nurse Practitioner | 25 Main St, Smithfield, PA 15478-8943 | 2014-07-21 |
| 1043312002 | Gwenda Lynn Anderson | Physical Therapy Assistant | 25 Main St, Suite 7, Smithfield, PA 15478-8943 | 2006-09-01 |
| 1578599320 | Richard H Martin | Physical Therapist | 25 Main St, Suite 7, Smithfield, PA 15478-8943 | 2006-06-23 |
| 1497729891 | Fayette Medical Associates Inc | Family Medicine | 25 Main St, Smithfield, PA 15478-8943 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897402 | Lynn Cottrell | Technician | 251 Blue Rock Road, Smithfield, PA 15478 | 2019-08-23 |
| 1043393606 | Glenn Douglas Smiley | Dentist | 3090 Morgantown Rd, Smithfield, PA 15478 | 2006-10-24 |
| 1851321574 | Michael David Rua | Physician Assistant | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478 | 2006-07-05 |
| 1942619416 | David Carlton Seitz | Dentist | 37 Main St, Smithfield, PA 15478 | 2014-08-08 |
| 1447237680 | Robert S English Jr. | Dermatology | 2160 Springhill Furnace Rd, Smithfield, PA 15478 | 2005-12-29 |
| 1194063545 | Mary Ann Leadbeater | Home Health | 385 Smithfield Highhouse Rd, Smithfield, PA 15478-1237 | 2013-01-18 |
| 1417460155 | Guardian Angels Home Care | Home Health | 385 Smithfield Highhouse Rd, Smithfield, PA 15478-1237 | 2017-11-15 |
| 1942299466 | James Edwin Lynn | Pharmacist | 102 Main St, Smithfield, PA 15478-1260 | 2005-10-18 |
| 1750637161 | J and H Home Medical | Durable Medical Equipment & Medical Supplies | 118 Gans Hill School Rd, Smithfield, PA 15478-1324 | 2012-08-03 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| Find all providers in zip 15478 | ||||
| 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 |
|---|---|---|---|---|
| 1346491198 | Dr. Shubi Shahida | Non-Pharmacy Dispensing Site | 712 Wilkins St Ste A, Smithfield, NC 27577-4664 | 2008-10-09 |
| 1255656955 | Horizon Family Medicine | Non-Pharmacy Dispensing Site | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2010-04-06 |
| 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 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 15478 |
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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.