AVELLA FAMILY PRACTICELLC NPI 1659455988

NPI Information

  • NPI: 1659455988
  • Provider Name: AVELLA FAMILY PRACTICE,LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 9 CAMPBELL DR
    BOX 187
    AVELLA, PA
    ZIP 15312
  • Phone: (724) 587-3472

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NPI Details

AVELLA FAMILY PRACTICE,LLC is a family medicine in Avella, PA. The provider is 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. AVELLA FAMILY PRACTICE,LLC NPI is 1659455988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 CAMPBELL DR
BOX 187
AVELLA, PA
ZIP 15312-738
Phone: (724) 587-3472
Fax: (724) 587-5947

The provider's authorized official is Sean Matthew Porbin .
The authorized official title is Owner and has the following contact phone number (724) 587-3472.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD063186LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1084863MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAGROUP NUMBER
21011626600001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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