MEAD AVENUE FAMILY PRACTICE, INC.
NPI 1124156765
Family Medicine in Corry, PA

Active since March 02, 2007
1086 MEAD AVE, CORRY, PA 16407(814) 664-4542(814) 664-4556 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mead Avenue Family Practice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEAD AVENUE FAMILY PRACTICE, INC. (NPI 1124156765) is a healthcare organization registered as a family medicine in Corry, Pennsylvania and active in the NPI registry since March 2007. The organization lists Kurt E Lund, President, as its authorized official.

NPPES Registry Identity

NPI1124156765
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEAD AVENUE FAMILY PRACTICE, INC.
Location Address1086 MEAD AVECorry, PA 16407-8503
Mailing Address1086 Mead AveCorry, PA 16407-8503 · (814) 664-4542 · Fax (814) 664-4556
Fax(814) 664-4556
Organization SubpartNo
Authorized OfficialKurt E LundPresident · (814) 664-4542
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2007
NPI 1124156765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD050434L
Definition
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.
1086 MEAD AVE, Corry, PA 16407

Other Identifiers 3

OtherDF6619PA · Railroad
Medicaid1019472820001PA
Medicare PIN108646PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1086 MEAD AVE
CORRY, PA 16407
Physician Assistant
1086 MEAD AVE
CORRY, PA 16407
Family Medicine
1086 MEAD AVE
CORRY, PA 16407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mead Avenue Family Practice, Inc.'s NPI number?

The NPI number for Mead Avenue Family Practice, Inc. is 1124156765. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Mead Avenue Family Practice, Inc. located?

Mead Avenue Family Practice, Inc. is located at 1086 Mead Ave, Corry, PA 16407. The listed phone number is (814) 664-4542.

What is Mead Avenue Family Practice, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mead Avenue Family Practice, Inc. was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.