MEDICARE: NORTHERN COMMUNITIES MEDICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD053373L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DD5102	OTHER	PA	RAILROAD MEDICARE/PALMETT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	254126	OTHER	PA	COVENTRY HEALTH PLANS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1636234	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1093757536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN COMMUNITIES MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	217 E MAIN ST
Second Line	:
City	:	EVANS CITY
State	:	PA
Zip	:	16033-1219
Country	:	US
Telephone Number	:	724-538-9700
Fax Number	:	724-538-9710

Provider Business Practice Location Address
First Line	:	217 E MAIN ST
Second Line	:
City	:	EVANS CITY
State	:	PA
Zip	:	16033-1219
Country	:	US
Telephone Number	:	724-538-9700
Fax Number	:	724-538-9710

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELLIOT L SMITH
Credential	:	M.D.
Telephone Number	:	724-538-9700

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1396741492 — ELLIOT L SMITH M.D.
Practice Location Address:

217 E MAIN ST
EVANS CITY, PA
16033-1219

Practice Phone: 724-538-9700
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1114096807 — EVANS CITY DRUG STORE INC
Practice Location Address:

201 E MAIN ST
EVANS CITY, PA
16033-1219

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1710058425 — JOSHUA HUBERT DPT
Practice Location Address:

213 E MAIN ST
EVANS CITY, PA
16033-1219

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1053459255 — MRS. FAITHANN MARIAN MUSTOVIC R.PH.
Practice Location Address:

201 E MAIN ST
EVANS CITY, PA
16033-1219

Practice Phone: 724-538-4240
Practice Fax: 724-538-3826

1205974896 — MRS. REBECCA S BROWN R.PH.
Practice Location Address:

201 E MAIN ST
EVANS CITY, PA
16033-1219

Practice Phone: 724-538-4240
Practice Fax: 724-538-3826

1962695734 — TAMMY BRINKER
Practice Location Address:

217 E MAIN ST , FALK MEDICAL BLDG, 4TH FLOOR
EVANS CITY, PA
16033-1219

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Practice Fax:

Directions to “NORTHERN COMMUNITIES MEDICAL ASSOCIATES ” Practice Location

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