Healthcare Provider Details

I. General information

NPI: 1134198666
Provider Name (Legal Business Name): FAMILY PHYSICIAN ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BRIDGE ST
NEW CUMBERLAND PA
17070-1127
US

IV. Provider business mailing address

507 TIRE HILL ROAD SUITE 100
JOHNSTOWN PA
15905
US

V. Phone/Fax

Practice location:
  • Phone: 717-774-7041
  • Fax: 717-774-3213
Mailing address:
  • Phone: 814-467-4055
  • Fax: 814-262-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT D MUELLER
Title or Position: MD
Credential: MD
Phone: 717-557-6987