Dr. Todd Wayne Fausnaught
Family Doctor Internist - Addiction Medicine
1705 Warren Ave Suite 303
Williamsport
, Pennsylvania 17701-2665
Dr. Todd Wayne Fausnaught
Family Doctor Internist - Addiction Medicine
1705 Warren Ave Suite 303
Williamsport
, Pennsylvania 17701-2665
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About
Features
Specialties
- Family Doctor
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Todd Wayne Fausnaught
- 101 Cowardin Ave Ste 202
- Richmond, VA
- Zip : 23224-2078
- Phone :
Second Address
- Dr. Todd Wayne Fausnaught
- 1705 Warren Ave Suite 303
- Williamsport, PA
- Zip : 17701-2665
- Fax : (570) 326-8049
- Phone : (570) 326-8500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD420382 | PA |
| N | 207RA0401X | Internist - Addiction Medicine | 0101267603 | VA |
National Provider Identifier
| NPI | 1538137070 |
|---|---|
| Provider Name | Dr. Todd Wayne Fausnaught |
| First Address | Richmond, VA 23224-2078 |
| Second Address | Williamsport, PA 17701-2665 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 20/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0018752330004 | (05) | PA |
| 0018752330005 | (05) | PA |
| 0018752330006 | (05) | PA |
| 002616 | FIRST PRIORITY HEALTH (01) | PA |
| 1470448 | HIGHMARK BLUE SHIELD (01) | PA |
| 2517565 | UNITEDHEALTHCARE (01) | PA |
| 6528 | GEISINGER HEALTH PLAN (01) | PA |
| 7379443 | AETNA (01) | PA |
| 816892 | FIRST PRIORITY HEALTH (01) | PA |
| H80482 | (02) | |
| H80482 | HEALTHAMERICA (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.